VA CULOTTA JR MD LLC


Address: 4420 Conlin St., Ste 300, Metairie, LA 70006
Phone: 5048729283

VA CULOTTA JR MD LLC (NPI# 1306273511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306273511
Entity Type Organization
Organization Name VA CULOTTA JR MD LLC
Practice Address 4420 Conlin St.
Ste 300
Metairie
LA 70006
Mailing Address 4420 Conlin St
Ste 300
Metairie
LA 70006-2167
Practice Telephone 5048729283
Practice Fax Number 5042981032
Mailing Telephone 5048729283
Mailing Fax Number 5042981032
Enumeration Date 2013-10-02
Last Update Date 2014-02-13
Authorized Official Name DR. VINCENT ANTHONY CULOTTA (OWNER)
Authorized Official Telephone 5048729283
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
LA 1107107 05

Office Location

Street Address 4420 CONLIN ST.
STE 300
City METAIRIE
State LA
Zip Code 70006

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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Notes: [7/1/2003: new]

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Competitor

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City METAIRIE
Zip Code 70006

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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