Organization
VA CULOTTA JR MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT ANTHONY CULOTTA MD (OWNER)
(504) 872-9283
Entity
Organization
Contact information
Practice address
4420 CONLIN ST., STE 300, METAIRIE, LA 70006
(504) 872-9283
(504) 298-1032
Mailing address
4420 CONLIN ST, STE 300, METAIRIE, LA 70006-2167
(504) 872-9283
(504) 298-1032
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1107107
—
LA
Enumeration date
10/02/2013
Last updated
02/13/2014
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