Provider Demographics
| NPI: | 1619221280 |
|---|---|
| Name: | THE ADMINISTRATORS OF THE TULANE EDUCATIONAL FUND |
| Entity type: | Organization |
| Organization Name: | THE ADMINISTRATORS OF THE TULANE EDUCATIONAL FUND |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | COO |
| Authorized Official - Prefix: | MS |
| Authorized Official - First Name: | MARGARET |
| Authorized Official - Middle Name: | A |
| Authorized Official - Last Name: | REINA |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 504-988-6821 |
| Mailing Address - Street 1: | 1430 TULANE AVE |
| Mailing Address - Street 2: | TW22 |
| Mailing Address - City: | NEW ORLEANS |
| Mailing Address - State: | LA |
| Mailing Address - Zip Code: | 70112-2632 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 504-988-2300 |
| Mailing Address - Fax: | 504-988-3969 |
| Practice Address - Street 1: | 3036 IBERVILLE ST |
| Practice Address - Street 2: | |
| Practice Address - City: | NEW ORLEANS |
| Practice Address - State: | LA |
| Practice Address - Zip Code: | 70119 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 504-988-1840 |
| Practice Address - Fax: | 504-988-1841 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2012-11-05 |
| Last Update Date: | 2012-11-05 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | Group - Multi-Specialty |