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Organization
CROWLEY CARDIAC WELLNESS LLC
Active
Organization
CROWLEY CARDIAC WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NITIN LOURDES MALLA GENERAL PARTNER (MANAGING DIRECTOR)
(914) 494-3803
Entity
Organization
Contact information
Practice address
1113 E NORTHERN AVE, CROWLEY, LA 70526-3035
(337) 680-4877
(337) 205-7972
Mailing address
1113 E NORTHERN AVE, CROWLEY, LA 70526-3035
(337) 680-4877
(337) 205-7972
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
05/26/2011
Last updated
05/26/2011
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