Organization
NORTHSHORE CARDIOVASCULAR ASSOCIATES LLC
Active
Organization
NORTHSHORE CARDIOVASCULAR ASSOCIATES LLC
Active
Other names
Northshore Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY MORALES JR. M.D. (MANAGING PARTNER)
(985) 641-7283
Entity
Organization
Contact information
Practice address
2360 GAUSE BLVD E, SLIDELL, LA 70461-4141
(985) 641-7283
(985) 641-7218
Mailing address
2360 GAUSE BLVD E, SLIDELL, LA 70461-4141
(985) 641-7283
(985) 641-7218
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1799661
—
LA
01
—
56964
MEDICARE ID-MEDICARE GROUP NUMBER
LA
Enumeration date
08/17/2010
Last updated
10/19/2010
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