# MAGAZINE RETINAL ASSOCIATES LLC

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

## Provider details

- **NPI number:** 1750452470
- **Authorized official:** DR. ARLEY GUSTAVO JARAMILLO M.D. (DOCTOR)
- **Authorized official phone:** (504) 592-9818

## Contact information

- **Practice address:** 4747 EARHART BLVD, STE J, NEW ORLEANS, LA 70125-1743
- **Practice address phone:** (504) 592-9818
- **Practice address fax:** (504) 525-0152
- **Mailing address:** 4747 EARHART BLVD, STE J, NEW ORLEANS, LA 70125-1743
- **Mailing address phone:** (504) 592-9818
- **Mailing address fax:** (504) 525-0152

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 9487 | LA | Yes |

## Other

- **Enumeration date:** 11/13/2006
- **Last updated:** 09/11/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1449628 | — | LA |