Individual
DR. FREDERICK G KUSHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 MEDICAL CENTER BLVD, N613, MARRERO, LA 70072-3151
(504) 349-6800
(504) 349-6621
Mailing address
1111 MEDICAL CENTER BLVD, N613, MARRERO, LA 70072-3151
(504) 349-6800
(504) 349-6621
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
04466R
LA
207RI0011X
Interventional Cardiology Physician
04466R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1343749
—
LA
Enumeration date
04/21/2006
Last updated
03/05/2015
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