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Individual

ALLEN R. CALABRESI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1120 ROBERT BLVD, SUITE 200, SLIDELL, LA 70458
(985) 646-2411
(985) 646-2413
Mailing address
1120 ROBERT BLVD STE 200, SLIDELL, LA 70458-2069
(985) 646-2411
(985) 646-2413

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
022569
LA
207RH0003X
Hematology & Oncology Physician
17437
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04659300
MS
05
1483401
LA
Enumeration date
12/27/2006
Last updated
01/22/2020
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