Individual
MARK DAL CORSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 N CAUSEWAY BLVD, DAUGHTERS OF CHARITY HEALTH CENTER, METAIRIE, LA 70001-5450
(504) 482-0084
(504) 483-6018
Mailing address
P.O. BOX 4148, NEW ORLEANS, LA 70178-4148
(504) 412-1860
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD.07331R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1367389
—
LA
Enumeration date
07/25/2006
Last updated
10/31/2012
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