Individual
VINCENT R. ADOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
018160
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00113782
—
MS
05
—
1375691
—
LA
Enumeration date
04/26/2006
Last updated
11/12/2015
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