Healthcare Provider Details

I. General information

NPI: 1639154743
Provider Name (Legal Business Name): JOSEPH CRAPANZANO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2005
Last Update Date: 01/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4320 HOUMA BLVD FL 6
METAIRIE LA
70006-2961
US

IV. Provider business mailing address

4320 HOUMA BLVD FL 6
METAIRIE LA
70006-2961
US

V. Phone/Fax

Practice location:
  • Phone: 504-503-4109
  • Fax: 504-503-4103
Mailing address:
  • Phone: 504-503-4109
  • Fax: 504-503-4103

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number016596
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: