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Organization

INTERNAL MEDICINE SPECIALISTS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAURIE A BERGERON CMPE (ADMINISTRATOR)
(504) 648-2543
Entity
Organization

Contact information

Practice address
3525 PRYTANIA ST, SUITE 526, NEW ORLEANS, LA 70115-3500
(504) 648-2500
(504) 897-2064
Mailing address
3525 PRYTANIA ST, SUITE 526, NEW ORLEANS, LA 70115-3500
(504) 648-2500
(504) 897-2064

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
207RG0100X
Gastroenterology Physician
207RN0300X
Nephrology Physician
207RP1001X
Pulmonary Disease Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1033073
LA
Enumeration date
05/17/2006
Last updated
07/12/2012
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