Healthcare Provider Details

I. General information

NPI: 1740548965
Provider Name (Legal Business Name): PAIGE CULOTTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/25/2012
Last Update Date: 07/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 CALHOUN ST
NEW ORLEANS LA
70118
US

IV. Provider business mailing address

1101 CALHOUN ST
NEW ORLEANS LA
70118-5915
US

V. Phone/Fax

Practice location:
  • Phone: 504-896-9237
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080C0008X
TaxonomyChild Abuse Pediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: