Individual
DR. MARK MCCREARY CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1415 TULANE AVE, NEW ORLEANS, LA 70112-2600
(504) 988-5152
(504) 988-4237
Mailing address
1430 TULANE AVE, SL-48, NEW ORLEANS, LA 70112-2632
(504) 988-5152
(504) 988-4237
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
016062
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1328987
—
LA
Enumeration date
08/17/2006
Last updated
01/20/2012
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