Basic Information
| Provider Information | |||||||||
| NPI: | 1619267077 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | TULANE INTERNAL MEDICINE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 516 CLUB LN | ||||||||
| Address2: | |||||||||
| City: | TOWSON | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212867304 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4108328845 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1430 TULANE AVE # SL-50 | ||||||||
| Address2: | |||||||||
| City: | NEW ORLEANS | ||||||||
| State: | LA | ||||||||
| PostalCode: | 701122632 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5049881332 | ||||||||
| FaxNumber: | 5049883971 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/19/2011 | ||||||||
| LastUpdateDate: | 04/19/2011 | ||||||||
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| AuthorizedOfficialLastName: | LANG | ||||||||
| AuthorizedOfficialFirstName: | KELSEY | ||||||||
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| AuthorizedOfficialTitleorPosition: | SR. PROGRAM COORDINATOR | ||||||||
| AuthorizedOfficialTelephone: | 5049887809 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | Y | Hospitals | General Acute Care Hospital |
No ID Information.