| |
4626 Alcee Fortier Blvd Suite D New Orleans LA 70129-2130 | |
(504) 255-8665 | |
(504) 254-6447 |
Full Name | |
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Speciality | Internal Medicine |
Location | 4626 Alcee Fortier Blvd, New Orleans, Louisiana |
Authorized Official Name and Position | Margaret A Reina (COO) |
Authorized Official Contact | 5049886821 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1430 Tulane Ave Tw22 New Orleans LA 70112-2632 Ph: (504) 988-2300 | 4626 Alcee Fortier Blvd Suite D New Orleans LA 70129-2130 Ph: (504) 255-8665 |
NPI Number | 1700196193 |
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Provider Enumeration Date | 10/19/2010 |
Last Update Date | 11/12/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700196193 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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