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NPI Code Detail

MEDICARE: MRS. CARLI SCHWARTZ GERTLER RDN, CDE

MEDICARE: MRS. CARLI SCHWARTZ GERTLER RDN, CDE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian2262LA

General Provider Information

NPI Number : 1114304821
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CARLI SCHWARTZ GERTLER RDN, CDE
Provider Business Mailing Address
First Line : 333 JULIA ST
Second Line : APT 317
City : NEW ORLEANS
State : LA
Zip : 70130-3643
Country : US
Telephone Number : 516-448-3546
Fax Number :
Provider Business Practice Location Address
First Line : 300 N BROAD ST
Second Line : 102
City : NEW ORLEANS
State : LA
Zip : 70119-5577
Country : US
Telephone Number : 516-448-3546
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2015
Last Update Date : 05/01/2015

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