Most Relevant Information
Provider Data
| NPI Number: | 1003234642 |
| Provider Name: | DIANE DAVIS VAN GERWEN MD |
| Entity Type: | Individual |
| Taxonomy Code: | 208M00000X |
| Specialty: | Hospitalist |
| License Number: | 305924 |
Most Important Dates
| Enumeration Date: | 04/01/2014 |
| Last Updated: | 03/22/2019 |
Provider Practice Location
1514 JEFFERSON HWY
NEW ORLEANS
LA
701212429
Practice Location Phone/Fax
| Phone: | 5048427518 |
| Fax: |
Provider Mailing Location
1514 JEFFERSON HWY
NEW ORLEANS
LA
701212429
Provider Mailing Phone/Fax
| Phone: | 5048424000 |
| Fax: |