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Individual

ADAM J CZAIKOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3460
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3460

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD.203902
LA
390200000X
Student in an Organized Health Care Education/Training Program
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05775556
MS
05
1157554
LA
Enumeration date
06/24/2008
Last updated
10/25/2012
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