Provider Demographics
NPI:1215118575
Name:JOSEPH J BIUNDO JR MD APMC
Entity type:Organization
Organization Name:JOSEPH J BIUNDO JR MD APMC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:J
Authorized Official - Last Name:BIUNDO
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:504-889-5242
Mailing Address - Street 1:4315 HOUMA BLVD
Mailing Address - Street 2:SUITE 303
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-2940
Mailing Address - Country:US
Mailing Address - Phone:504-889-5242
Mailing Address - Fax:504-780-9251
Practice Address - Street 1:4315 HOUMA BLVD
Practice Address - Street 2:SUITE 303
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-2940
Practice Address - Country:US
Practice Address - Phone:504-889-5242
Practice Address - Fax:504-780-9251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-15
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA009860207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1075116Medicaid
LA1075116Medicaid
LAB62220Medicare UPIN