Organization
EAST JEFFERSON FAMILY PRACTICE L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUNG TRAN MD (OWNER)
(504) 885-2505
Entity
Organization
Contact information
Practice address
3848 VETERANS BLVD., SUITE 101, METAIRIE, LA 70002
(504) 885-2505
(504) 885-2510
Mailing address
PO BOX 54576, NEW ORLEANS, LA 70154-4576
(504) 885-2505
(504) 885-2510
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1123897
—
LA
Enumeration date
05/30/2006
Last updated
10/02/2014
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