Individual
DR. MARY A HOBBS MALUCCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
4204 HOUMA BLVD, METAIRIE, LA 70006-2903
(504) 503-5426
Mailing address
3621 LAKE DR, METAIRIE, LA 70002-1533
(462) 671-6746
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
01059879A
IN
2086X0206X
Surgical Oncology Physician
311861
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000386156
ANTHEM PIN
IN
05
—
200308920
—
IN
Enumeration date
05/16/2006
Last updated
02/08/2024
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