Organization
VASCULAR ACCESS CENTER OF SOUTHWEST LOUISIANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES FREDERICK MCGUCKIN MD (CEO/MEDICAL DIRECTOR)
(215) 382-3680
Entity
Organization
Contact information
Practice address
1340 SURREY ST, SUITE 101, LAFAYETTE, LA 70501-7618
(337) 205-4330
(337) 205-4331
Mailing address
PO BOX 38574, PHILADELPHIA, PA 19104-8574
(215) 382-3680
(215) 382-3683
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD.202013
LA
Other
Enumeration date
12/22/2008
Last updated
08/11/2009
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