Individual
DR. RUSSELL PATRICK CECOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 N JEFFERSON DAVIS PKWY, NEW ORLEANS, LA 70119-5308
(504) 821-0244
(504) 821-0255
Mailing address
120 N JEFFERSON DAVIS PKWY, NEW ORLEANS, LA 70119-5308
(504) 821-0244
(504) 821-0255
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
019853
LA
207YX0602X
Otolaryngic Allergy Physician
019853
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1901113
—
LA
Enumeration date
05/23/2006
Last updated
05/30/2008
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