Individual
PAMELA GAYLE MUSACCHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., M.D.
Contact information
Practice address
4225 LAPALCO BLVD, MARRERO, LA 70072-4324
(504) 391-7337
(504) 398-7213
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
301092
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04073541
—
MS
05
—
2329332
—
LA
Enumeration date
03/20/2013
Last updated
10/21/2016
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