Individual
JEFFREY ANDREW BORCHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 BELLE CHASSE HIGHWAY, GRETNA, LA 70056-7127
(504) 391-5157
Mailing address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
018085
LA
207LP2900X
Pain Medicine (Anesthesiology) Physician
018085
LA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD.018085
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00117531
—
MS
05
—
1376078
—
LA
Enumeration date
07/28/2006
Last updated
11/02/2011
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