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Contact Information

THOMAS NICOTRI JR, MD
229 W CAUSEWAY APPROACH
MANDEVILLE, LA70448
 Phone: 504-722-7684
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatopathology

207ND0900X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for THOMAS NICOTRI JR · (Male)

NPI Number 1316960370
Status Active
Credentials MD
Entity Individual
Enumeration date 07/25/2006
Last updated 09/20/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • LA License # MD.023801
  • LA Medicaid 1485268
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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