GRADY ENDOCRINOLOGY CENTER LLC
Osteopathic Medicine at Glenstone Pl, Baton Rouge, LA

License number
Louisiana MD202783
Category
Osteopathic Medicine
Type
Endocrinology, Diabetes & Metabolism
Owner
Name: DR. JUSTIN GRADY MATRISCIANO M.D.
Title: MANAGING MEMBER / OWNER
Phone: (516) 380-1490
Address
Address
10512 S Glenstone Pl SUITE 102, Baton Rouge, LA 70810
National Provider ID: 1548668452
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about GRADY ENDOCRINOLOGY CENTER LLC at bizstanding.com

GRADY ENDOCRINOLOGY CENTER, LLC

Baton Rouge, LA

Industry:
Medical Doctor's Office
Registration:
Oct 6, 2014
Addresses:
10512 S Glenstone Pl SUITE 102, Baton Rouge, LA 70810 (Physical)
C/O Justin Grady Matrisciano, Baton Rouge, LA 70810 (Mailing)
State ID:
41661089K
Business type:
Limited Liability Company
Manager:
Justin Grady Matrisciano (Manager), 3047 Brandywine Dr, Baton Rouge, LA 70808 (Physical)
Agent:
Justin Grady Matrisciano, M.d,3047 Brandywine Dr, Baton Rouge, LA 70808 (Physical)

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