Organization
CARDIOTHORACIC SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED Y GILMORE MD (PARTNER)
(504) 834-2062
Entity
Organization
Contact information
Practice address
3000 34TH ST, METAIRIE, LA 70001-2016
(504) 834-2062
(504) 831-7429
Mailing address
3000 34TH ST, METAIRIE, LA 70001-2016
(504) 834-2062
(504) 831-7429
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
096349
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1945773
—
LA
Enumeration date
01/30/2006
Last updated
08/22/2020
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