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Individual

DR. MARIANO MATIAS IBERICO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1415 TULANE AVE, NEW ORLEANS, LA 70112
(504) 988-5263
Mailing address
1430 TULANE AVE # 8016, NEW ORLEANS, LA 70112-2632
(504) 988-1940
(504) 988-8252

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
310259
LA
208M00000X
Hospitalist Physician
Primary
A132138
CA

Other

Enumeration date
03/23/2013
Last updated
11/13/2019
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