Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 011187R | LA |
NPI | 1033165451 |
---|---|
Provider Name | Dr. Joseph Guarnieri |
First Address | Marrero, LA 70072-3151 |
Second Address | Marrero, LA 70072-3151 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2006 |
Last Update Date | 08/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
112336 | (05) | LA |
B64163 | (02) | LA |