Individual
JOHN JEROME TOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
602 N ACADIA RD, THIBODAUX, LA 70301-4847
(504) 837-8000
Mailing address
PO BOX 606, METAIRIE, LA 70004-0606
(504) 837-8000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
017777
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1363421
—
LA
Enumeration date
07/10/2006
Last updated
05/07/2021
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