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NPI Code Detail

MEDICARE: DR. JEAN-FARERE DYER MD

MEDICARE:  DR. JEAN-FARERE  DYER  MD
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
1207RC0000XCardiovascular Disease PhysicianMD.04539RLA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568499895
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEAN-FARERE DYER MD
Provider Business Mailing Address
First Line : 3405 SAINT CLAUDE AVE
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70117-6144
Country : US
Telephone Number : 504-943-9578
Fax Number : 504-943-9557
Provider Business Practice Location Address
First Line : 3405 SAINT CLAUDE AVE
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70117-6144
Country : US
Telephone Number : 504-943-9578
Fax Number : 504-943-9557
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2006
Last Update Date : 01/03/2011

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Directions to “ DR. JEAN-FARERE DYER MD” Practice Location

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