Organization
WOMENS MULTI-SPECIALTY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES M. REMETICH (VICE PRESIDENT)
(504) 988-7507
Entity
Organization
Contact information
Practice address
4630 AMBASSADOR CAFFERY PKWY, SUITE 308, LAFAYETTE, LA 70508-6949
(337) 989-8770
(337) 989-8768
Mailing address
4630 AMBASSADOR CAFFERY PKWY, SUITE 308, LAFAYETTE, LA 70508-6949
(337) 989-8770
(337) 989-8768
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1369349
—
LA
Enumeration date
09/10/2007
Last updated
07/17/2009
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