Individual
DR. MICHAEL BENJAMIN DEFATTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1901 PERDIDO ST, NEW ORLEANS, LA 70112-1393
(504) 568-6031
Mailing address
1901 PERDIDO ST, NEW ORLEANS, LA 70112-1393
(504) 568-6031
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
021226
LA
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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