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NPI Code Detail

MEDICARE: DR. BRIAN J GALOFARO M.D.

MEDICARE: DR. BRIAN J GALOFARO 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
1207Q00000XFamily Medicine PhysicianMD.203354LA

General Provider Information

NPI Number : 1629298278
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRIAN J GALOFARO M.D.
Provider Business Mailing Address
First Line : 5959 S SHERWOOD FOREST BLVD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70816-6038
Country : US
Telephone Number : 225-765-5727
Fax Number : 225-765-9196
Provider Business Practice Location Address
First Line : 70411 HIGHWAY 21
Second Line :
City : COVINGTON
State : LA
Zip : 70433-8243
Country : US
Telephone Number : 985-400-5566
Fax Number : 985-400-5560
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2007
Last Update Date : 08/14/2024

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