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Organization

CENTER FOR RESTORATIVE BREAST SURGERY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMY R TRAUB (FINANCE SPECIALIST)
(504) 529-6679
Entity
Organization

Contact information

Practice address
1717 ST CHARLES AVE, NEW ORLEANS, LA 70130
(504) 899-2800
(504) 620-3964
Mailing address
PO BOX 8664, METAIRIE, LA 70011
(504) 899-2800
(504) 620-3964

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
021287
LA
2086S0122X
Plastic and Reconstructive Surgery Physician
024972
LA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
13291R
LA

Other

Enumeration date
10/01/2007
Last updated
04/18/2024
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