MEDICARE: ERROL J QUINTAL SR. M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	04082R	LA
2	207N00000X	Dermatology Physician	MD.04082R	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033187273
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERROL J QUINTAL SR. M.D.

Provider Business Mailing Address
First Line	:	1514 JEFFERSON HIGHWAY
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70121
Country	:	US
Telephone Number	:	504-842-4000
Fax Number	:	225-381-2665

Provider Business Practice Location Address
First Line	:	9001 SUMMA AVENUE
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70809-3726
Country	:	US
Telephone Number	:	225-761-5200
Fax Number	:	225-381-2665

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	01/04/2011

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