Individual
THOMAS GERARD NUTTLI SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4200 HOUMA BLVD, FL 3, METAIRIE, LA 70006-2970
(504) 503-5205
(504) 503-6019
Mailing address
4200 HOUMA BLVD, FL 3, METAIRIE, LA 70006-2970
(504) 503-5205
(504) 503-6019
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
017964
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1388114
—
LA
Enumeration date
03/16/2006
Last updated
02/14/2020
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