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Individual

PHILIP VENEZIANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4728 JEFFERSON HWY, NEW ORLEANS, LA 70121-3125
(504) 734-0501
Mailing address
4515 S ROCHEBLAVE ST, NEW ORLEANS, LA 70125-4447
(732) 685-4131

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
05/15/2024
Last updated
05/15/2024
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