Individual
NICK MOUSTOUKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3715 PRYTANIA ST, STE 400, NEW ORLEANS, LA 70115-3761
(504) 897-8276
(504) 897-8336
Mailing address
3600 PRYTANIA ST, SUITE 35, NEW ORLEANS, LA 70115-3628
(504) 897-8315
(504) 891-9862
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
015305
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1355160
—
LA
Enumeration date
01/30/2006
Last updated
06/17/2012
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