Organization
CRESCENT SURGICAL GROUP, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK DAVID KAPPELMAN M.D. (PARTNER)
(504) 391-7660
Entity
Organization
Contact information
Practice address
120 MEADOWCREST ST, SUITE 450, GRETNA, LA 70056-5255
(504) 391-7660
(504) 393-2407
Mailing address
120 MEADOWCREST ST, SUITE 450, GRETNA, LA 70056-5255
(504) 391-7660
(504) 393-2407
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CS9735
RAILROAD MEDICARE
LA
Enumeration date
01/15/2007
Last updated
11/14/2011
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