Internal Medicine Of Hammond, LLC
Internal Medicine in Hammond, LA. Organization (NPI-2).
NPI number1013200716
StatusActive
Last updated in NPPESMay 27, 2011
Details
- NPI
- 1013200716
- Entity type
- Organization (NPI-2)
- Legal business name
- Internal Medicine Of Hammond, LLC
- Organization subpart
- No
- Enumeration date
- May 27, 2011
- Last updated
- May 27, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | MD.014788 | LA | Yes |
Practice location
1004 W Thomas StHammond, LA 70401-3040
Phone 985-230-4466
Mailing address
1004 W Thomas StHammond, LA 70401-3040
Phone 985-230-4466
Authorized official
Angelo Russo
Owner
9852304466
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