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Individual

DR. MAURICE B. FAUGOT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
295 INDEST ST, NEW IBERIA, LA 70563-1719
(337) 365-5437
(337) 369-6922
Mailing address
295 INDEST ST, NEW IBERIA, LA 70563-1719
(337) 365-5437
(337) 369-6922

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
LA014151
LA
208000000X
Pediatrics Physician
Primary
MD014151
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1304336
LA
Enumeration date
04/21/2006
Last updated
02/03/2015
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