Provider Demographics
NPI:1982876462
Name:ASSOCIATES IN PEDIATRIC AND ADOLESCENT MEDICINE
Entity Type:Organization
Organization Name:ASSOCIATES IN PEDIATRIC AND ADOLESCENT MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RODGER
Authorized Official - Middle Name:H
Authorized Official - Last Name:ELOFSON
Authorized Official - Suffix:II
Authorized Official - Credentials:MD
Authorized Official - Phone:225-928-0867
Mailing Address - Street 1:8040 GOODWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-7631
Mailing Address - Country:US
Mailing Address - Phone:225-928-0867
Mailing Address - Fax:225-928-1948
Practice Address - Street 1:8040 GOODWOOD BLVD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-7631
Practice Address - Country:US
Practice Address - Phone:225-928-0867
Practice Address - Fax:225-928-1948
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-25
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Single Specialty