MEDICARE: DR. CLAUDE MARION D'ANTONIO JR. 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	207P00000X	Emergency Medicine Physician	MD201783	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	201783	OTHER	LA	LICENSE
3	P00875994	OTHER	LA	RRMCARE THRU PEPA

General Provider Information

NPI Number	:	1548420706
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CLAUDE MARION D'ANTONIO JR. M.D.

Provider Business Mailing Address
First Line	:	2020 GRAVIER ST
Second Line	:	LSU DEPT OF EMERGENCY MEDICINE, 7TH FLOOR, SUITE D
City	:	NEW ORLEANS
State	:	LA
Zip	:	70112-2272
Country	:	US
Telephone Number	:	504-903-3594
Fax Number	:

Provider Business Practice Location Address
First Line	:	2020 GRAVIER ST
Second Line	:	LSU DEPT OF EMERGENCY MEDICINE, 7TH FLOOR, SUITE D
City	:	NEW ORLEANS
State	:	LA
Zip	:	70112-2272
Country	:	US
Telephone Number	:	504-903-3594
Fax Number	:

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

Provider Enumeration Date	:	06/11/2008
Last Update Date	:	06/10/2026

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Directions to “ DR. CLAUDE MARION D'ANTONIO JR. M.D.” Practice Location

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