Individual
MR. FAROKH RUSTOMJI CONTRACTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 FOUCHER ST, MIDOS GARY R GLYNN MD APMC, NEW ORLEANS, LA 70115
(504) 897-8543
(504) 897-8726
Mailing address
1401 FOUCHER ST, MIDOS, NEW ORLEANS, LA 70115
(504) 897-8543
(504) 897-8726
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
016919
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1382787
—
LA
Enumeration date
08/29/2006
Last updated
10/22/2009
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