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Individual

MR. GERALD JOSEPH CALEGAN II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10101 PARK ROWE AVE, SUITE 200, BATON ROUGE, LA 70810
(225) 769-2200
(225) 768-2185
Mailing address
PO BOX 98509, BATON ROUGE, LA 70884-9509
(225) 769-2200
(225) 768-2185

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
24995
AL
2084N0400X
Neurology Physician
Primary
200840
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051516518
BLUE CROSS BLUE SHIELD
AL
05
1529001
LA
Enumeration date
03/02/2006
Last updated
05/31/2018
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