NPI 1578161105

Mark P Kostelak, CCP

Practitioner Perfusionist New Orleans, LA

Practice location

Address: Southeast Louisiana Veterans Health Care System 2400 Canal Street, New Orleans, LA 70119
Phone: (504) 784-5364
Mailing address: 29 Magnolia Trace Dr, Harvey, LA 70058-6112

Registered specialties

Perfusionist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 242T00000X Licence PEF.200076

Other Perfusionist providers in Louisiana →

Registry record

NPI: 1578161105
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Oct 2020
Record last updated: 15 Oct 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.