Poole Dermatology A Professional Medical Corporation in Metairie - Dermatology

Poole Dermatology A Professional Medical Corporation - NPI 1215151790

Poole Dermatology A Professional Medical Corporation is a Dermatology in Metairie, Louisiana. Poole Dermatology A Professional Medical Corporation practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Poole Dermatology A Professional Medical Corporation is 1215151790. The last update date is 2009-08-26.

Poole Dermatology A Professional Medical Corporation's current location address is 111 Veterans Memorial Blvd, Metairie, Louisiana. You can contact this provider via phone number 5048388225 and fax number 5048388233. The mailing address for Poole Dermatology A Professional Medical Corporation is 111 Veterans Memorial Blvd, Metairie, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Poole Dermatology A Professional Medical Corporation
Address 111 Veterans Memorial Blvd, Metairie, Louisiana
Phone Number 5048388225
Fax Number 5048388233
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Poole C Jeffrey
Credentials MD
Telephone Number 5048388225

NPI Number Detail

NPI Number 1215151790
Provider Enumeration Date 2007-04-13
Last Updated Date 2009-08-26

Provider Mailing Address Detail

Address 111 Veterans Memorial Blvd
City Metairie
State Louisiana (LA)
Post Code 700053028
Phone Number 5048388225
Fax Number 5048388233

Provider's Primary Taxonomy Detail

Speciality Dermatology
Taxonomy 207N00000X
Licence No MD021909
Definition:
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1576387 LA --

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FAQs about Poole Dermatology A Professional Medical Corporation

What is the Poole Dermatology A Professional Medical Corporation's 1215151790?

The Poole Dermatology A Professional Medical Corporation's NPI (National Provider Identifier) Number is 1215151790. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Poole Dermatology A Professional Medical Corporation is located?

The Poole Dermatology A Professional Medical Corporation is situated at the following address: 111 Veterans Memorial Blvd, Metairie, LA, 700053028.

What is Poole Dermatology A Professional Medical Corporation's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Poole Dermatology A Professional Medical Corporation is Dermatology, and the corresponding taxonomy classification code for this specialized field is 207N00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1215151790 to Poole Dermatology A Professional Medical Corporation?

The Poole Dermatology A Professional Medical Corporation received its 1215151790 assignment from the Centers for Medicare & Medicaid Services on 2007-04-13.

When was the Poole Dermatology A Professional Medical Corporation's information last updated?

The Poole Dermatology A Professional Medical Corporation's information was last updated on 2009-08-26.

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