Healthcare Provider Details

I. General information

NPI: 1811908338
Provider Name (Legal Business Name): ALUIZIO ROBERTO STOPA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 01/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 HENRY CLAY AVE
NEW ORLEANS LA
70118-5720
US

IV. Provider business mailing address

1340 POYDRAS ST SUITE 1340
NEW ORLEANS LA
70112-1221
US

V. Phone/Fax

Practice location:
  • Phone: 504-896-9751
  • Fax:
Mailing address:
  • Phone: 504-412-1835
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number04012R
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License Number04012R
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: