Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 16102 | LA |
NPI | 1437151404 |
---|---|
Provider Name | Dr. Belinda Marascalco Sartor |
First Address | New Orleans, LA 70115-4040 |
Second Address | Mandeville, LA 70448 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1973696 | (05) | LA |
B94330 | (02) | LA |