Individual
SUSAN J BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(504) 896-2791
Mailing address
300 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5722
(504) 412-1835
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
08306R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1399710
—
LA
Enumeration date
07/24/2006
Last updated
05/12/2011
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