Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | MD.010551 | LA |
NPI | 1023066107 |
---|---|
Provider Name | Dr. Harold A Fuselier |
First Address | New Orleans, LA 70112-1221 |
Second Address | New Orleans, LA 70115-6969 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2006 |
Last Update Date | 16/02/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00012272 | (05) | MS |
1138533 | (05) | LA |
B63313 | (02) |