MEDICARE: FARERE DYER, M.D., APMC

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
1	207RI0011X	Interventional Cardiology Physician	33806660D	LA

General Provider Information

NPI Number	:	1952571507
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FARERE DYER, M.D., APMC

Provider Business Mailing Address
First Line	:	825 BURGUNDY STREET
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70116-6144
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	:	DIRECTOR
Name	:	JEAN-FARERE DYER
Credential	:	M.D.
Telephone Number	:	504-701-9578

Provider Enumeration Date	:	03/10/2008
Last Update Date	:	07/25/2008

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