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MARY T MUNGER
300 CODIFER BLVD C METAIRIE LA 700053725
MARY T MUNGER is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1730157983. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 7315831344. The primary specialty is . The organization is . The address is 300 CODIFER BLVD C, , METAIRIE, LA, 700053725. The zip code is 700053725.
|Nation Provider ID||1730157983|
|PAC ID by PECOS||7315831344|
|Professional Enrollment ID||I20040211000382|
|Name||MARY T MUNGER|
|Medical School Name||OTHER|
|All secondary specialties|
|Group Practice PAC ID|
|Number of Group Practice members||0|
|Address||300 CODIFER BLVD C, , METAIRIE, LA, 700053725|
|Hospital affiliation LBN|