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NPI Code Detail

MEDICARE: ANTOINETTE LOGARBO MD

MEDICARE: ANTOINETTE LOGARBO 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
1208000000XPediatrics Physician16586LA

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 : 1801890744
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTOINETTE LOGARBO MD
Provider Business Mailing Address
First Line : 298 HENRY CLAY AVE
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70118-5720
Country : US
Telephone Number : 504-896-9827
Fax Number : 504-894-5370
Provider Business Practice Location Address
First Line : 728 W 11TH AVE
Second Line :
City : COVINGTON
State : LA
Zip : 70433-2318
Country : US
Telephone Number : 985-893-3395
Fax Number : 985-892-8212
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 05/09/2011

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Directions to “ ANTOINETTE LOGARBO MD” Practice Location

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