# VA CULOTTA JR MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306273511
- **Authorized official:** DR. VINCENT ANTHONY CULOTTA MD (OWNER)
- **Authorized official phone:** (504) 872-9283

## Contact information

- **Practice address:** 4420 CONLIN ST., STE 300, METAIRIE, LA 70006
- **Practice address phone:** (504) 872-9283
- **Practice address fax:** (504) 298-1032
- **Mailing address:** 4420 CONLIN ST, STE 300, METAIRIE, LA 70006-2167
- **Mailing address phone:** (504) 872-9283
- **Mailing address fax:** (504) 298-1032

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/02/2013
- **Last updated:** 02/13/2014