OrganizationActive
East Jefferson Radiation Oncology, LLC
NPI 1114977402 · Radiation Oncology Physician · Metairie, LA
Provider details
- NPI number
- 1114977402
- Entity type
- Organization
- Primary specialty
- Radiation Oncology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ricky Stonicher, Department Administrator(504) 454-1724
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4204 Houma Blvd
Metairie, LA 70006-2903
Phone: (504) 454-1724
Fax: (504) 455-4857
Approximate (ZIP-level) locationGet directions
Mailing address
4204 Houma Blvd
Metairie, LA 70006-2903
Registry dates
- Enumerated
- 2006-05-10
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.