MARK P KOSTELAK

NEW ORLEANS, LA
NPI1578161105
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy242T00000X Perfusionist
(Licence:   PEF.200076)
Enumeration Date2020-10-15
Last Update Date2020-10-15
Business Address
MARK P KOSTELAK CCP
SOUTHEAST LOUISIANA VETERANS HEALTH CARE SYSTEM 2400 CANAL STREET
NEW ORLEANS, LA 70119
Phone number: 504-784-5364
Mailing Address
MARK P KOSTELAK CCP
29 MAGNOLIA TRACE DR
HARVEY, LA 70058-6112
Phone number:
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