Individual
DR. IDA F FATTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1401 FOUCHER ST, WOUND CARE CENTER, NEW ORLEANS, LA 70115-3515
(504) 897-7732
(504) 897-7759
Mailing address
922 OCTAVIA ST, NEW ORLEANS, LA 70115-3125
(504) 891-9711
(866) 686-7691
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
011456
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154547
—
LA
Enumeration date
11/08/2006
Last updated
07/08/2007
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