Provider First Line Business Practice Location Address:
1430 TULANE AVE, SL50
Provider Second Line Business Practice Location Address:
DEPARTMENT OF INTERNAL MEDICINE
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-988-7809
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/02/2017