Provider Demographics
NPI:1063596658
Name:UPTOWN INTERNAL MEDICINE & GASTROENTEROLOGY
Entity type:Organization
Organization Name:UPTOWN INTERNAL MEDICINE & GASTROENTEROLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:P
Authorized Official - Last Name:FRIEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-897-7878
Mailing Address - Street 1:3434 PRYTANIA STREET
Mailing Address - Street 2:SUITE 410
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-3572
Mailing Address - Country:US
Mailing Address - Phone:504-897-7878
Mailing Address - Fax:504-897-7850
Practice Address - Street 1:3434 PRYTANIA STREET
Practice Address - Street 2:SUITE 410
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-3572
Practice Address - Country:US
Practice Address - Phone:504-897-7878
Practice Address - Fax:504-897-7850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2010-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty