Organization
MARA HASELTINE MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARA HASELTINE MD (OWNER)
(504) 226-7873
Entity
Organization
Contact information
Practice address
3100 GALLERIA DR STE 203, METAIRIE, LA 70001-2196
(504) 226-7873
(504) 704-1639
Mailing address
4921 BARONNE ST, NEW ORLEANS, LA 70115-4922
(504) 226-7873
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
04/10/2019
Last updated
04/10/2019
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