Organization
INTERNAL MEDICINE OF HAMMOND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANGELO RUSSO M.D. (OWNER)
(985) 230-4466
Entity
Organization
Contact information
Practice address
1004 W THOMAS ST, HAMMOND, LA 70401-3040
(985) 230-4466
Mailing address
1004 W THOMAS ST, HAMMOND, LA 70401-3040
(985) 230-4466
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD.014788
LA
Other
Enumeration date
05/27/2011
Last updated
05/27/2011
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