Basic Information
| Provider Information | |||||||||
| NPI: | 1063054575 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | JAMES L CROWE MD LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4418 FONTAINEBLEAU DR | ||||||||
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| City: | NEW ORLEANS | ||||||||
| State: | LA | ||||||||
| PostalCode: | 701253618 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5042892274 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1401 FOUCHER ST | ||||||||
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| City: | NEW ORLEANS | ||||||||
| State: | LA | ||||||||
| PostalCode: | 701153515 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5048977011 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/16/2019 | ||||||||
| LastUpdateDate: | 10/16/2019 | ||||||||
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| AuthorizedOfficialLastName: | CROWE | ||||||||
| AuthorizedOfficialFirstName: | JAMES | ||||||||
| AuthorizedOfficialMiddleName: | L | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER/ PHYSICIAN | ||||||||
| AuthorizedOfficialTelephone: | 5042892274 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RI0200X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Infectious Disease |
No ID Information.