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EAST JEFFERSON RADIATION ONCOLOGY LLC NPI 1114977402


NPI Information

NPI: 1114977402
Provider Name: EAST JEFFERSON RADIATION ONCOLOGY, LLC
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
4204 HOUMA BLVD
METAIRIE, LA
ZIP 70006
Phone: (504) 454-1724
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EAST JEFFERSON RADIATION ONCOLOGY, LLC is a radiation oncology radiology in Metairie, LA. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. EAST JEFFERSON RADIATION ONCOLOGY, LLC NPI is 1114977402. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4204 HOUMA BLVD
METAIRIE, LA
ZIP 70006-903
Phone: (504) 454-1724
Fax: (504) 455-4857

The provider's authorized official is Ricky Stonicher .
The authorized official title is Department Administrator and has the following contact phone number (504) 454-1724.

The enumeration date for this NPI number is 5/10/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0001XRadiologyRadiation OncologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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