M A Culasso, Llc

NPI 1083617237 - Family Medicine - 207Q00000X

NPI Details
NPI 1083617237
Enumeration Date 05/23/2005
Last Updated 04/05/2011
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name MIGUEL A MIGUEL
Position OWNER/PHYSICIAN
Phone (985) 649-0945
Fax (985) 643-8510
Practice Location
1520 GAUSE BLVD
SLIDELL LA, 70458-2208, US
Phone (985) 649-0945
Fax (985) 643-8510
Business Location
PO BOX 729
SLIDELL LA, 70459-0729, US
Phone (985) 646-0945
Fax (985) 643-8510
Toxanomy
Taxonomy Code 207Q00000X
License State Louisiana
License Number 013032
Remove 1083617237 NPI Number
 

According to our database, M A Culasso, Llc NPI is 1083617237, taxonomy code is 207Q00000X and license number is 013032, license state is located at Louisiana. M A Culasso, Llc physically located at 1520 Gause Blvd, Slidell LA, 70458-2208. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1083617237 NPI number is provided on an as is basis without warranty of any kind. 1083617237 is maintained by the National Plan & Provider Enumeration System. The contents of M A Culasso, Llc are for informational purposes only.