Organization
HEART CLINIC OF LOUISIANA DIAGNOSTIC SERVICES, APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK G KUSHNER MD (MEDICAL DIRECTOR)
(504) 349-6800
Entity
Organization
Contact information
Practice address
1111 MEDICAL CENTER BLVD, N 613, MARRERO, LA 70072-3151
(504) 349-6800
(504) 349-6621
Mailing address
1111 MEDICAL CENTER BLVD, N 613, MARRERO, LA 70072-3151
(504) 349-6800
(504) 349-6621
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1799793
—
LA
Enumeration date
04/25/2006
Last updated
10/25/2007
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