Organization
NORTHSHORE RHEUMATOLOGY, L.L.C.
Active
Parent organization
NORTHSHORE RHEUMATOLOGY, L.L.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHSHORE RHEUMATOLOGY, L.L.C.
Authorized official
MS. ZARA J CASBORN (OFFICE MANAGER)
(985) 871-9453
Entity
Organization
Contact information
Practice address
202 HIGHLAND PARK PLZ, COVINGTON, LA 70433-7129
(985) 871-9453
(985) 871-9177
Mailing address
202 HIGHLAND PARK PLZ, COVINGTON, LA 70433-7129
(985) 871-9453
(985) 871-9177
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13304R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1422207
—
LA
Enumeration date
10/09/2007
Last updated
10/09/2007
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