Individual
JERUSSA MARIA AITA-LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(504) 896-2798
Mailing address
1340 POYDRAS ST, NEW ORLEANS, LA 70112-1221
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
MD.13592R
LA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
ME75420
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03573534
—
MS
05
—
1434973
—
LA
Enumeration date
08/10/2006
Last updated
11/01/2011
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