Organization
DRS CERISE ADINOLFI AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA BOUDREAUX LONGSTREET CST (OFFICE MANAGER)
(504) 486-7415
Entity
Organization
Contact information
Practice address
3629 PRYTANIA ST, NEW ORLEANS, LA 70115-3610
(504) 486-7415
(504) 891-4064
Mailing address
810 CRYSTAL ST, NEW ORLEANS, LA 70124-3610
(504) 486-7415
(504) 891-4064
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
014427
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174343
—
LA
Enumeration date
04/17/2007
Last updated
08/22/2020
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