Provider Demographics
NPI:1285866947
Name:KRULISKY, JAMES SCOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:SCOTT
Last Name:KRULISKY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:200 HENRY CLAY AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118-5720
Mailing Address - Country:US
Mailing Address - Phone:504-896-9751
Mailing Address - Fax:504-896-3952
Practice Address - Street 1:200 HENRY CLAY AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118
Practice Address - Country:US
Practice Address - Phone:504-896-9751
Practice Address - Fax:504-896-3952
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-14
Last Update Date:2018-07-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA2077792080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology