Individual
DR. ANTHONY JOHN BOULIGNY SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 LOYOLA AVE, MEDICAL UNIT RM 2008, NEW ORLEANS, LA 70113-1912
(504) 589-1174
(504) 589-1382
Mailing address
5459 STILLWATER DR, NEW ORLEANS, LA 70128-3412
(504) 245-6374
(504) 589-1382
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
013653
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1192783
—
LA
Enumeration date
01/29/2007
Last updated
07/08/2007
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