Healthcare Provider Details

I. General information

NPI: 1033549225
Provider Name (Legal Business Name): FRANK J ARENA MD, APMC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2013
Last Update Date: 11/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1970 N HIGHWAY 190 SUITE 100
COVINGTON LA
70433-5158
US

IV. Provider business mailing address

54 PRESERVE LN
MANDEVILLE LA
70471-2937
US

V. Phone/Fax

Practice location:
  • Phone: 985-867-8585
  • Fax: 985-867-3644
Mailing address:
  • Phone: 985-867-8585
  • Fax: 985-867-3644

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number StateLA

VIII. Authorized Official

Name: FRANK J ARENA
Title or Position: OWNER
Credential: MD
Phone: 985-867-8585