ILANA S. FORTGANG

MARRERO, LA
NPI1689721573
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2080P0206X Pediatrics, Pediatric Gastroenterology
(Licence: LA  MD.023358)
Additional Taxonomies2080P0206X Pediatrics, Pediatric Gastroenterology
(Licence: LA  023358)
Enumeration Date2007-01-04
Last Update Date2016-06-13
Business Address
-- ILANA S. FORTGANG M.D.
1111 MEDICAL CENTER BLVD. SUITE S-450
MARRERO, LA 70072
Phone number: 504-349-6401
Mailing Address
-- ILANA S. FORTGANG M.D.
P.O. BOX 1520
MARRERO, LA 70073-1520
Phone number: 504-349-6423