Healthcare Provider Details
I. General information
NPI: 1871563882
Provider Name (Legal Business Name): JOSEPH LOUIS TONORE JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/23/2006
Last Update Date: 07/08/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
170 MCGEHEE DR
BATON ROUGE LA
70815-1717
US
IV. Provider business mailing address
1514 JEFFERSON HWY
NEW ORLEANS LA
70121-2429
US
V. Phone/Fax
- Phone: 225-272-3246
- Fax: 225-272-8899
- Phone: 504-842-4000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | MD011635 |
| License Number State | LA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2083X0100X |
| Taxonomy | Occupational Medicine Physician |
| License Number | MD011635 |
| License Number State | LA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: