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Individual

SUSAN FIELKOW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2810 E CAUSEWAY APPROACH, MANDEVILLE, LA 70448-3502
(985) 875-2340
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD.13791R
LA
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
303817
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1437921
LA
Enumeration date
05/04/2006
Last updated
06/12/2017
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