Organization
NEONATOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC DESOLER M.D. (PRESIDENT)
(318) 327-4617
Entity
Organization
Contact information
Practice address
309 JACKSON ST, 4TH FLOOR NICU, MONROE, LA 71201-7407
(318) 327-4917
(318) 327-4916
Mailing address
121 SAINT CHARLES CIRCLE, MONROE, LA 71203
(318) 325-4575
(318) 323-4153
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
08063R
LA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
10844R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0456817720
BLUE CROSS
LA
05
—
1382141
—
LA
05
—
1659746
—
LA
Enumeration date
11/08/2006
Last updated
08/22/2020
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