Organization
THE SPECIALIST GROUP
Active
Organization
THE SPECIALIST GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIUS SHARON MD (CEO)
(985) 764-1441
Entity
Organization
Contact information
Practice address
1972 ORMOND BLVD, SUITE B, DESTREHAN, LA 70047-3818
(985) 764-1441
(985) 764-1422
Mailing address
1972 ORMOND BLVD, SUITE B, DESTREHAN, LA 70047-3818
(985) 764-1441
(985) 764-1422
Taxonomy
Speciality
Code
Description
License number
State
173F00000X
Sleep Specialist (PhD)
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
2084N0400X
Neurology Physician
—
—
Other
Enumeration date
02/13/2009
Last updated
02/20/2009
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