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NPI Code Detail

MEDICARE: JAMES FALTERMAN, MD, AMC

MEDICARE: JAMES FALTERMAN, MD, AMC
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
1207Q00000XFamily Medicine Physician009159LA

Other Identifiers

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

General Provider Information

NPI Number : 1053591115
Entity Type Code : Organization
Provider Name (Legal Business Name) : JAMES FALTERMAN, MD, AMC
Provider Business Mailing Address
First Line : 1411 CHURCH ST
Second Line :
City : JEANERETTE
State : LA
Zip : 70544-4407
Country : US
Telephone Number : 337-276-6374
Fax Number : 337-276-5815
Provider Business Practice Location Address
First Line : 1411 CHURCH ST
Second Line :
City : JEANERETTE
State : LA
Zip : 70544-4407
Country : US
Telephone Number : 337-276-6374
Fax Number : 337-276-5815
Authorized Official
Title or Position : PRESIDENT
Name : DR. JAMES B. FALTERMAN SR.
Credential :
Telephone Number : 337-276-6374
Provider Enumeration Date : 11/06/2007
Last Update Date : 02/01/2008

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