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NPI Code Detail

MEDICARE: DR. JULLETTE MORAN SAUSSY M.D.

MEDICARE: DR. JULLETTE MORAN SAUSSY M.D.
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
1207P00000XEmergency Medicine Physician022181LA

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 : 1730210725
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JULLETTE MORAN SAUSSY M.D.
Provider Business Mailing Address
First Line : 6319 CALDWELL DR
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70122-2838
Country : US
Telephone Number : 504-250-1229
Fax Number :
Provider Business Practice Location Address
First Line : 1816 INDUSTRIAL BLVD
Second Line :
City : HARVEY
State : LA
Zip : 70058-2314
Country : US
Telephone Number : 504-366-7638
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2007
Last Update Date : 07/08/2007

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