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Individual

PETER JOSEF GOERTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4025
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
187044-1
NY
2084P0800X
Psychiatry Physician
Primary
MD.08383R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09705315
MS
05
2366874
LA
Enumeration date
12/27/2006
Last updated
04/24/2015
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