Individual
DR. NICHOLAS J PERSICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4228 HOUMA BLVD, SUITE 120, METAIRIE, LA 70006-3002
(504) 456-6701
(504) 456-6843
Mailing address
4228 HOUMA BLVD, SUITE 120, METAIRIE, LA 70006-3002
(504) 456-6701
(504) 456-6843
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
019601
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1930989
—
LA
01
—
4334849824E
BLUE CROSS
LA
01
—
4413302
AETNA
—
01
—
5372667009
CIGNA
—
Enumeration date
08/21/2006
Last updated
02/28/2013
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