Organization
MAGAZINE RETINAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARLEY GUSTAVO JARAMILLO M.D. (DOCTOR)
(504) 592-9818
Entity
Organization
Contact information
Practice address
4747 EARHART BLVD, STE J, NEW ORLEANS, LA 70125-1743
(504) 592-9818
(504) 525-0152
Mailing address
4747 EARHART BLVD, STE J, NEW ORLEANS, LA 70125-1743
(504) 592-9818
(504) 525-0152
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
9487
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1449628
—
LA
Enumeration date
11/13/2006
Last updated
09/11/2013
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