Organization
HEDGEWOOD SURGICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CALVIN M JOHNSON JR. M.D. (DIRECTOR)
(504) 895-8610
Entity
Organization
Contact information
Practice address
2427 SAINT CHARLES AVE, 2ND FLOOR, NEW ORLEANS, LA 70130-5825
(504) 895-8610
(504) 895-0728
Mailing address
2427 SAINT CHARLES AVE, 2ND FLOOR, NEW ORLEANS, LA 70130-5825
(504) 895-8610
(504) 895-0728
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
45
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20054
BLUE CROSS OF LOUISIANA
LA
Enumeration date
07/06/2006
Last updated
07/16/2008
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