Individual
PAUL HENRY GULOTTA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., A.P.M.C.
Contact information
Practice address
2313 E MAIN ST, SUITE C, NEW IBERIA, LA 70560-4091
(337) 364-1734
(337) 364-4717
Mailing address
2313 E MAIN ST, SUITE C, NEW IBERIA, LA 70560-4091
(337) 364-1734
(337) 364-4717
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
017276
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1351989
—
LA
Enumeration date
03/14/2006
Last updated
03/20/2008
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