NPI | 1972623049 |
---|---|
Former Legal Business Name | MICHAEL G. DESALVO, MD, A MED. CORP |
Entity Type | Organization |
Authorized Contact | CYNTHIA M. PETTA Office Manage 504-885-4677 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: LA 207y00000X) |
Enumeration Date | 2007-03-30 |
Last Update Date | 2020-12-31 |