Individual
FRED DEFRANCESCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3001 19TH ST, METAIRIE, LA 70002-4906
(504) 469-9641
(504) 469-9642
Mailing address
3001 19TH ST, METAIRIE, LA 70002-4906
(504) 469-9641
(985) 479-8002
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
022596
LA
2081P0004X
Spinal Cord Injury Medicine Physician
022596
LA
208VP0014X
Interventional Pain Medicine Physician
022596
LA
Other
Enumeration date
09/21/2006
Last updated
05/02/2024
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