Individual
ELEANOR ANNE GRADIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3660
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD.206031
LA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
MD.206031
LA
Other
Enumeration date
03/23/2011
Last updated
07/21/2022
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