Organization
THOMAS P MELANCON MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS P MELANCON MD (PRESIDENT)
(504) 392-7999
Entity
Organization
Contact information
Practice address
1111 MEDICAL CENTER BLVD, SUITE 205, MARRERO, LA 70072-3151
(504) 392-7999
(504) 392-6100
Mailing address
1111 MEDICAL CENTER BLVD, SUITE 205, MARRERO, LA 70072-3151
(504) 392-7999
(504) 392-6100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18656
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1397610
—
LA
Enumeration date
12/11/2009
Last updated
08/25/2010
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