Individual
DR. TARUN JOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
231 W ESPLANADE AVE, SUITE B, KENNER, LA 70065-2459
(504) 754-2334
(504) 324-2078
Mailing address
4520 WICHERS DR, SUITE 205, MARRERO, LA 70072-3135
(504) 754-2334
(504) 324-2078
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD.025631
LA
208VP0014X
Interventional Pain Medicine Physician
Primary
025631
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04658549
—
MS
05
—
1047104
—
LA
Enumeration date
07/16/2006
Last updated
08/10/2011
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