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Individual

RANDOLPH E. SASSONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
12926
MS
207L00000X
Anesthesiology Physician
Primary
MD.019615
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00016855
MS
05
1916501
LA
Enumeration date
10/17/2006
Last updated
07/20/2010
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