Individual
SUSAN PENTON CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4315 HOUMA BLVD STE 401, METAIRIE, LA 70006-2941
(504) 503-5123
(504) 503-5129
Mailing address
1100 POYDRAS ST, 2500 ENERGY CENTRE, NEW ORLEANS, LA 70163-2500
(504) 527-9953
(504) 527-9950
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD025102
LA
208000000X
Pediatrics Physician
025102
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02980540
—
MS
05
—
1420328
—
LA
Enumeration date
10/06/2005
Last updated
04/10/2024
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