Individual
PATTY E. BOUSTANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 BELLE CHASSE HWY, TERRYTOWN, LA 70056-7127
(504) 391-7778
Mailing address
2404 AUDUBON TRCE, JEFFERSON, LA 70121-1554
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD019014
LA
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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