Canal Street Cardiology

NPI #1881640795 in New Orleans, Louisiana

Provider Information

NPI Number: 1881640795
Entity Type: Organization
Organization Name: Canal Street Cardiology
Primary Specialty: Specialist
Enumeration Date: May 25, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 2820 CANAL ST
City: New Orleans
State: Louisiana
ZIP Code: 70119-6302
Phone: (504) 273-6137

Authorized Official

Name: DR. GLENN MICHAEL JOHNSON, MD
Title: MEDICAL DIRECTOR
Phone: (504) 273-6137

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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