Organization
NORTHLAKE CARDIOLOGY ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MADAELIL GEORGE THOMAS M.D. (PRESIDENT)
(985) 649-2883
Entity
Organization
Contact information
Practice address
1150 ROBERT BLVD, SUITE 340, SLIDELL, LA 70458-2004
(985) 649-2883
(985) 649-2953
Mailing address
1150 ROBERT BLVD, SUITE 340, SLIDELL, LA 70458-2004
(985) 649-2883
(985) 649-2953
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
03737R
LA
174400000X
Specialist
05592R
LA
Other
Enumeration date
12/05/2006
Last updated
01/21/2009
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