Basic Information
Provider Information
NPI: 1154718823
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALDEN
FirstName: EMILY
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7100 COLISEUM ST
Address2:  
City: NEW ORLEANS
State: LA
PostalCode: 701184818
CountryCode: US
TelephoneNumber: 5044309159
FaxNumber:  
Practice Location
Address1: 3900 N CAUSEWAY BLVD STE 625
Address2:  
City: METAIRIE
State: LA
PostalCode: 700021771
CountryCode: US
TelephoneNumber: 5047795515
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/21/2015
LastUpdateDate: 02/18/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/18/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X320552LAY193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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