Organization
IRA P MARKOWITZ FACS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE RESENDEZ (OF ASST)
(504) 239-1798
Entity
Organization
Contact information
Practice address
2921 DAVID DR, METAIRIE, LA 70003-4515
(504) 777-0780
Mailing address
2921 DAVID DR, METAIRIE, LA 70003-4515
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
17060
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1357791
—
LA
Enumeration date
12/04/2017
Last updated
12/04/2017
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