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Individual

ALLISON SIMON VITTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(866) 624-7637
Mailing address
1717 JEFFERSON AVE, NEW ORLEANS, LA 70115-4915
(504) 701-1837

Taxonomy

Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
MD.201615
LA
2085R0202X
Diagnostic Radiology Physician
Primary
MD.201615
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1079863
LA
Enumeration date
08/05/2007
Last updated
07/02/2020
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