Individual
DR. ERICA MONIQUE BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121
(504) 842-4000
Mailing address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101237921
TX
2085R0202X
Diagnostic Radiology Physician
Primary
MD.203730
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08625534
—
LA
05
—
2112309
—
LA
Enumeration date
08/16/2007
Last updated
08/24/2010
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