Individual
DR. ELLIE FOX WETSMAN
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) 896-9236
(504) 894-8744
Mailing address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(504) 896-9236
(504) 894-8744
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
11725R
LA
2080C0008X
Child Abuse Pediatrics Physician
Primary
11725R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1682331
—
LA
Enumeration date
06/04/2007
Last updated
01/28/2014
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