| NPI | 1720512601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK JOSEPH FUOCO Consultant 504-495-6772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E-2230) |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2017-04-17 |