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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