MEDICARE: DR. THOMAS PATRICK PERONE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207T00000X	Neurological Surgery Physician	MD.06950R	LA

General Provider Information

NPI Number	:	1386885440
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS PATRICK PERONE M.D.

Provider Business Mailing Address
First Line	:	4200 ESSEN LN
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70809-2158
Country	:	US
Telephone Number	:	225-923-2701
Fax Number	:	225-926-4846

Provider Business Practice Location Address
First Line	:	4200 ESSEN LN
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70809-2158
Country	:	US
Telephone Number	:	225-923-2701
Fax Number	:	225-926-4846

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2009
Last Update Date	:	03/18/2009

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