Organization
WEST JEFFERSON SPECIALTY PHYSICIAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY R CASSAGNE (CEO)
(504) 349-1102
Entity
Organization
Contact information
Practice address
1111 MEDICAL CENTER BLVD, SUITE N-311, MARRERO, LA 70072-3151
(504) 934-8100
(504) 934-8102
Mailing address
1111 MEDICAL CENTER BLVD, SUITE N-311, MARRERO, LA 70072-3151
(504) 934-8100
(504) 934-8102
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
01/18/2011
Last updated
01/18/2011
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