Individual
MARY BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5798
(504) 899-9511
(832) 825-3141
Mailing address
1430 TULANE AVE, # 8622, NEW ORLEANS, LA 70112-2632
(832) 822-3135
(832) 825-3141
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
323841
LA
2086S0120X
Pediatric Surgery Physician
G6705
TX
Other
Enumeration date
10/17/2006
Last updated
10/02/2020
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