NICHOLAS J. VIVIANO, MD, LLC

COVINGTON, LA
NPI1407039050
Entity TypeOrganization
Authorized ContactNICHOLAS JOSEPH VIVIANO
CEO
985-893-9464
Organization Subpart ?No
Primary Taxonomy207NS0135X Dermatology, Procedural Dermatology
(Licence: LA  015859)
Enumeration Date2007-12-05
Last Update Date2007-12-05
Business Address
NICHOLAS J. VIVIANO, MD, LLC
7031 HIGHWAY 190 EAST SERVICE RD
COVINGTON, LA 70433-4955
Phone number: 985-893-9464
Mailing Address
NICHOLAS J. VIVIANO, MD, LLC
PO BOX 1259
MANDEVILLE, LA 70470-1259
Phone number: 985-893-9464
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