Individual
DR. CHRISTOPHER J WORMUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2820 NAPOLEON AVENUE, NEW ORLEANS, LA 70115
(504) 842-4960
Mailing address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.12786R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00007387
—
MS
05
—
1570885
—
LA
Enumeration date
07/18/2006
Last updated
04/14/2010
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