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Individual

BENJAMIN B. PEELER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000

Taxonomy

Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
2009-01985
NC
2086S0129X
Vascular Surgery Physician
0101232814
VA
2086S0129X
Vascular Surgery Physician
301034
LA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
2009-01985
NC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
301034
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005874203
VA
05
07029023
MS
05
1902975543
NC
05
2410971
LA
05
5910317
NC
05
NC1089
SC
Enumeration date
11/07/2006
Last updated
07/01/2016
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