Organization
NORTH SHORE HEART AND VASCULAR, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE M ENNIS (M.D.)
(985) 200-3530
Entity
Organization
Contact information
Practice address
675 N CAUSEWAY BLVD, MANDEVILLE, LA 70448-4600
(985) 200-3530
(985) 202-2010
Mailing address
675 N CAUSEWAY BLVD, MANDEVILLE, LA 70448-4600
(985) 200-3530
(985) 202-2010
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
Primary
—
—
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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