Healthcare Provider Details

I. General information

NPI: 1124040308
Provider Name (Legal Business Name): AARON S. DUMONT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 06/16/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 S ROBERTSON ST SUITE 1300
NEW ORLEANS LA
70112-2807
US

IV. Provider business mailing address

131 S ROBERTSON ST SUITE 1300
NEW ORLEANS LA
70112-2807
US

V. Phone/Fax

Practice location:
  • Phone: 504-988-5565
  • Fax: 504-988-5793
Mailing address:
  • Phone: 504-988-5565
  • Fax: 504-988-5793

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number0101239907
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberMD439010
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number25MA08803500
License Number StateNJ
# 4
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberMD.205983
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: