Deregal Fay Burbank MD

NPI 1629244132 - Pediatrics - 208000000X

NPI Details
NPI 1629244132
Gender Female
Enumeration Date 05/05/2008
Last Updated 07/31/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
120 MEADOWCREST ST.
SUITE 245
GRETNA LA, 70056, US
Phone (504) 391-7690
Fax (504) 391-7625
Business Location
55 YELLOWSTONE DR
NEW ORLEANS LA, 70131, US
Phone (225) 270-8370
Fax (504) 392-0359
Toxanomy
Taxonomy Code 208000000X
License State Louisiana
License Number 016402
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According to our database, Dr. Deregal Fay Burbank MD NPI is 1629244132, taxonomy code is 208000000X and license number is 016402, license state is located at Louisiana. Deregal Fay Burbank MD physically located at 120 Meadowcrest St., Gretna LA, 70056. NPI Number Deregal Fay Burbank MD has the Individual type.

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1629244132 NPI number is provided on an as is basis without warranty of any kind. 1629244132 is maintained by the National Plan & Provider Enumeration System. The contents of Deregal Fay Burbank MD are for informational purposes only.