Organization
JEFFERSON PULMONARY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS NUTTLI MD (DIRECTOR)
(877) 241-1811
Entity
Organization
Contact information
Practice address
4200 HOUMA BLVD, 3RD FLOOR RESPIRATORY DEPT, METAIRIE, LA 70006-2970
(504) 454-5205
(504) 456-8019
Mailing address
PO BOX 73701, METAIRIE, LA 70033-3701
(877) 241-1811
(888) 849-5029
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1448982
—
LA
01
—
5F766
MEDICARE PTAN
LA
Enumeration date
05/20/2006
Last updated
11/01/2013
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