Organization
JEFFERSON RADIATION ONCOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL DAVID MONSOUR M.D. (OWNER)
(504) 454-1727
Entity
Organization
Contact information
Practice address
4204 HOUMA BLVD, METAIRIE, LA 70006-2903
(504) 454-1724
(504) 455-4857
Mailing address
4204 HOUMA BLVD, SUITE 211, METAIRIE, LA 70006-2903
(504) 454-1727
(504) 455-4857
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1448133
—
LA
Enumeration date
05/10/2006
Last updated
08/22/2020
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