Organization
INTERDISCIPLINARY PAIN THERAPY ASSOCIATES, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK JOSEPH FUOCO (PRESIDENT)
(504) 391-3266
Entity
Organization
Contact information
Practice address
5 TENNYSON PL, NEW ORLEANS, LA 70131-5444
(985) 869-0271
Mailing address
5 TENNYSON PL, NEW ORLEANS, LA 70131-5444
(985) 869-0271
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/20/2012
Last updated
04/20/2012
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