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Individual

GERALD ANTHONY CVITANOVICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
708 W ESPLANADE AVE, KENNER, LA 70065-2736
(504) 461-9660
(504) 461-8450
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 914-6074
(504) 831-3778

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
019027
LA
207Q00000X
Family Medicine Physician
Primary
019027
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1443964
LA
Enumeration date
05/17/2006
Last updated
04/04/2017
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