MEDICARE: DR. EMMETT BERNARD CHAPITAL JR. M.D., MBA

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	207RC0000X	Cardiovascular Disease Physician	014623	LA

General Provider Information

NPI Number	:	1982788923
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EMMETT BERNARD CHAPITAL JR. M.D., MBA

Provider Business Mailing Address
First Line	:	1221 N BROAD ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70119-3302
Country	:	US
Telephone Number	:	504-482-9755
Fax Number	:	504-482-9844

Provider Business Practice Location Address
First Line	:	1221 N BROAD ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70119-3302
Country	:	US
Telephone Number	:	504-482-9755
Fax Number	:	504-482-9844

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

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	06/30/2010

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Directions to “ DR. EMMETT BERNARD CHAPITAL JR. M.D., MBA” Practice Location

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