Basic Information
| Provider Information | |||||||||
| NPI: | 1144297664 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BURROFF | ||||||||
| FirstName: | JANET | ||||||||
| MiddleName: | ANN | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3939 HOUMA BLVD | ||||||||
| Address2: | SUITE 6 | ||||||||
| City: | METAIRIE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 700062931 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5048850577 | ||||||||
| FaxNumber: | 5048881308 | ||||||||
| Practice Location | |||||||||
| Address1: | 3939 HOUMA BLVD | ||||||||
| Address2: | SUITE 6 | ||||||||
| City: | METAIRIE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 700062931 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5048850577 | ||||||||
| FaxNumber: | 5048881308 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/02/2006 | ||||||||
| LastUpdateDate: | 11/05/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RH0003X | L023584 | LA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology |
ID Information
| ID | Type | State | Issuer | Description | 3600276 | 01 | LA | UNITED HEALTHCARE | OTHER | 0963310001 | 01 | LA | CIGNA | OTHER | 4687075670 | 01 | BLUE CROSS/SHIELD LA | OTHER | 7564343 | 01 | LA | AETNA | OTHER |