East Jefferson Physician's Group, Llc

NPI 1013173244 - Family Medicine - 207Q00000X

NPI Details
NPI 1013173244
Enumeration Date 08/07/2008
Last Updated 04/07/2009
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name MARK J MARK
Position CEO
Phone (504) 883-3772
Fax
Practice Location
4228 HOUMA BLVD
SUITE 400
METAIRIE LA, 70006-3000, US
Phone (504) 883-3772
Fax
Business Location
4300 HOUMA BLVD
SUITE 202
METAIRIE LA, 70006-2932, US
Phone (504) 883-3700
Fax (504) 883-3710
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, East Jefferson Physician's Group, Llc NPI is 1013173244, taxonomy code is 207Q00000X East Jefferson Physician's Group, Llc physically located at 4228 Houma Blvd, Metairie LA, 70006-3000. NPI Number 1033115704 has the healthcare provider type.

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1013173244 NPI number is provided on an as is basis without warranty of any kind. 1013173244 is maintained by the National Plan & Provider Enumeration System. The contents of East Jefferson Physician's Group, Llc are for informational purposes only.