Individual
MICHAEL JUDE TARANTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
108 ARBOR LN, NEW IBERIA, LA 70563-2822
(337) 365-5881
Mailing address
108 ARBOR LN, NEW IBERIA, LA 70563-2822
(337) 365-5881
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
010736
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1136042
—
LA
Enumeration date
08/01/2005
Last updated
12/09/2008
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