Healthcare Provider Details

I. General information

NPI: 1679746879
Provider Name (Legal Business Name): AJA M. SANZONE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2008
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2222 SIMON BOLIVAR AVE FL 1
NEW ORLEANS LA
70113-1460
US

IV. Provider business mailing address

2222 SIMON BOLIVAR AVE FL 1
NEW ORLEANS LA
70113-1460
US

V. Phone/Fax

Practice location:
  • Phone: 504-444-7879
  • Fax:
Mailing address:
  • Phone: 504-444-7879
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0208X
TaxonomyPediatric Infectious Diseases Physician
License NumberMD.200503
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: