Basic Information
| Provider Information | |||||||||
| NPI: | 1881797165 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | TULANE UNIVERSITY HEALTH SCIENCES CENTER | ||||||||
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| Mailing Information | |||||||||
| Address1: | 816 RUE ST PHILLIP | ||||||||
| Address2: | |||||||||
| City: | NEW ORLEANS | ||||||||
| State: | LA | ||||||||
| PostalCode: | 70116 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5045939257 | ||||||||
| FaxNumber: | 5049887616 | ||||||||
| Practice Location | |||||||||
| Address1: | 1430 TULANE AVE # SL-54 | ||||||||
| Address2: | |||||||||
| City: | NEW ORLEANS | ||||||||
| State: | LA | ||||||||
| PostalCode: | 701122632 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5049887627 | ||||||||
| FaxNumber: | 5049887616 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/05/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | NEITZSCHMAN | ||||||||
| AuthorizedOfficialFirstName: | HAROLD | ||||||||
| AuthorizedOfficialMiddleName: | R | ||||||||
| AuthorizedOfficialTitleorPosition: | PROFESSOR AND CHAIRMAN | ||||||||
| AuthorizedOfficialTelephone: | 5049887627 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0202X | X | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology | 2085N0904X | X | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Radiology | Nuclear Radiology | 2085P0229X | X | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Radiology | Pediatric Radiology |
No ID Information.