NPI 1114977402

East Jefferson Radiation Oncology, LLC

Organisation Radiation Oncology Physician Metairie, LA

Practice location

Address: 4204 Houma Blvd, Metairie, LA 70006-2903
Phone: (504) 454-1724
Fax: (504) 455-4857
Mailing address: 4204 Houma Blvd Suite 211, Metairie, LA 70006-2903

Authorised official

Name: Ricky Stonicher
Title: Department Administrator
Phone: (504) 454-1724

Registered specialties

Radiation Oncology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0001X

Other Radiology providers in Louisiana →

Registry record

NPI: 1114977402
Entity type: Organization
NPI issued: 10 May 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.