Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 33957 | MN |
Y | 207PP0204X | Pediatric Emergency Physician | 311030 | LA |
NPI | 1134161797 |
---|---|
Provider Name | Marte Baro |
First Address | New Orleans, LA 70121-2429 |
Second Address | New Orleans, LA 70121 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2006 |
Last Update Date | 08/11/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
072517000 | (05) | MN |
F39288 | (02) |