Individual
DR. ADAM JOSEPH BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(225) 772-4090
Mailing address
1021 EUTERPE ST, NEW ORLEANS, LA 70130-4123
(225) 772-4090
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
31534
OK
207LP3000X
Pediatric Anesthesiology Physician
Primary
MD.204659
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2106155
—
LA
Enumeration date
03/19/2010
Last updated
10/15/2018
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