Individual
DR. EMILY BORDELON MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121-2429
(504) 236-4771
Mailing address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121-2429
(504) 236-4771
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
55629
TN
208000000X
Pediatrics Physician
200939
LA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
MD.200939
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03181805
—
MS
05
—
1237973
—
LA
Enumeration date
08/17/2007
Last updated
04/25/2017
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