Organization
MARTHA E STEWART MD LLC
Active
Organization
MARTHA E STEWART MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTHA E STEWART MD (OWNER)
(985) 727-7701
Entity
Organization
Contact information
Practice address
4060 LONESOME RD, MANDEVILLE, LA 70448-7085
(985) 727-7701
(985) 727-7375
Mailing address
4060 LONESOME RD, MANDEVILLE, LA 70448-7085
(985) 727-7701
(985) 727-7375
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
06/30/2006
Last updated
03/19/2018
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