Organization
NORTHSHORE INTERPRETIVE MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN T O'CONNELL PA/CNIM (PRESIDENT)
(985) 727-3489
Entity
Organization
Contact information
Practice address
602 LAFAYETTE ST UNIT B, MANDEVILLE, LA 70448-5013
(985) 727-3489
(985) 727-3490
Mailing address
PO BOX 761, MANDEVILLE, LA 70470-0761
(985) 727-3489
(985) 727-3490
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
10/16/2008
Last updated
10/16/2008
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