Provider First Line Business Practice Location Address:
1542 TULANE AVE RM 522
Provider Second Line Business Practice Location Address:
DEPARTMENT OF OBSTETRICS AND GYNECOLOGY
Provider Business Practice Location Address City Name:
NEW ORLEANS
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70112-2865
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-568-8663
Provider Business Practice Location Address Fax Number:
504-568-5140
Provider Enumeration Date:
12/27/2006