Organization
JAY HEINTZ M.D. A PROFESSIONAL MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY HEINTZ M.D. (MANAGER)
(443) 248-0088
Entity
Organization
Contact information
Practice address
15770 PAUL VEGA DR, SUITE 200, HAMMOND, LA 70403-1475
(985) 542-1226
Mailing address
15770 PAUL VEGA DR, SUITE 200, HAMMOND, LA 70403-1475
(985) 542-1226
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
205387
LA
Other
Enumeration date
07/05/2012
Last updated
07/05/2012
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