Individual
DR. IVO IATCHOVSKI-BARONNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3017 HARVARD AVE, SUITE 102, METAIRIE, LA 70006-6494
(504) 885-7018
(504) 885-7018
Mailing address
3017 HARVARD AVE, SUITE 102, METAIRIE, LA 70006-6402
(504) 338-4042
(504) 885-2904
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.201181
LA
207Q00000X
Family Medicine Physician
ME96106
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1064483
—
LA
Enumeration date
10/26/2006
Last updated
05/29/2014
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