Individual
DR. ALEGRA NICHOLE VENDITTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1415 TULANE AVE, HC-62, NEW ORLEANS, LA 70112-2600
(504) 988-1001
(504) 988-1005
Mailing address
1430 TULANE AVE, SL-16, NEW ORLEANS, LA 70112-2632
(504) 988-7518
(504) 988-8252
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
025914
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1424943
—
LA
Enumeration date
10/03/2006
Last updated
11/22/2011
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