Individual
TODD L BURSTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 JEFFERSON HWY, NEW ORLEANS, LA 70121-2426
(504) 842-4747
(504) 842-1242
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
33655
IA
207R00000X
Internal Medicine Physician
Primary
MD207717
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0218487
—
IA
05
—
08908064
—
MS
01
—
22861
WELLMARK BCBS
IA
05
—
2422391
—
LA
Enumeration date
10/07/2005
Last updated
04/25/2017
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