Healthcare Provider Details

I. General information

NPI: 1437475522
Provider Name (Legal Business Name): JUSTIN PAUL MEUNIER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2010
Last Update Date: 04/11/2023
Certification Date: 04/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 FOUCHER ST
NEW ORLEANS LA
70115-3515
US

IV. Provider business mailing address

3157 GENTILLY BLVD # 307
NEW ORLEANS LA
70122-3872
US

V. Phone/Fax

Practice location:
  • Phone: 504-897-7732
  • Fax:
Mailing address:
  • Phone: 504-813-6036
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207PE0005X
TaxonomyUndersea and Hyperbaric Medicine (Emergency Medicine) Physician
License NumberMD208081
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD.208081
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: