# NEONATAL MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396806337
- **Authorized official:** JUAN JORGE GERSHANIK MD (PRESIDENT)
- **Authorized official phone:** (504) 896-2229

## Contact information

- **Practice address:** 1303 HENRY CLAY AVENUE, NEW ORLEANS, LA 70118
- **Practice address phone:** (504) 896-2229
- **Practice address fax:** (504) 896-8835
- **Mailing address:** 1303 HENRY CLAY AVENUE, NEW ORLEANS, LA 70118
- **Mailing address phone:** (504) 896-2229
- **Mailing address fax:** (504) 896-8835

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | NULL | Yes |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/13/2006
- **Last updated:** 08/22/2020