Individual
JUDD ERNEST SHELLITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2820 NAPOLEON AVE, SUITE 890, NEW ORLEANS, LA 70115-6969
(504) 412-1366
(504) 412-1367
Mailing address
1340 POYDRAS ST, SUITE 1640, NEW ORLEANS, LA 70112-1221
(504) 412-1835
(504) 412-1954
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
012834
LA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
012834
LA
207RP1001X
Pulmonary Disease Physician
Primary
012834
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1394441
—
LA
Enumeration date
07/25/2006
Last updated
11/04/2008
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