Healthcare Provider Details

I. General information

NPI: 1831127513
Provider Name (Legal Business Name): JEFFERY W. COCO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 01/31/2025
Certification Date: 01/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3525 PRYTANIA ST SUITE 526
NEW ORLEANS LA
70115-3500
US

IV. Provider business mailing address

3525 PRYTANIA ST SUITE 526
NEW ORLEANS LA
70115-3500
US

V. Phone/Fax

Practice location:
  • Phone: 504-648-2520
  • Fax: 504-897-2064
Mailing address:
  • Phone: 504-648-2520
  • Fax: 504-897-2064

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number018181
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: