Individual
TONY GERARD COLLETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4921 AIRLINE DR, METAIRIE, LA 70001-5664
(580) 488-9266
(504) 889-5615
Mailing address
671 W ESPLANADE AVE, SUITE 100, KENNER, LA 70065-2794
(504) 467-5900
(504) 467-7272
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
08500
LA
Other
Enumeration date
05/27/2013
Last updated
05/27/2013
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