Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | MD.10978R | LA |
N | 207VG0400X | Gynecologist | 10978R | LA |
NPI | 1659394609 |
---|---|
Provider Name | Ralph Raymond Chesson JR. |
First Address | New Orleans, LA 70112-1221 |
Second Address | Metairie, LA 70006-3000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 10/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00126381 | (05) | MS |
02530708 | (05) | NY |
1656593 | (05) | LA |
B06461 | (02) |