Organization Name: | EAST JEFFERSON PHYSICIANS GROUP, L.L.C. |
NPI Number: | 1528334893 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK J PETERS (PRESIDENT/CEO) |
Mailing Address: | 4300 Houma Blvd Suite 202 Metairie |
State: | LA US |
Postal Code: | 700062932 |
Phone Number: | 5048833700 |
Fax Number: | 5048833710 |
NPI Enumeration Date: | 03/30/2012 |
NPI Last Update Date: | 03/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | MD.201448 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |