Provider Demographics
NPI:1508812058
Name:BIUNDO, JOSEPH JAMES JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:JAMES
Last Name:BIUNDO
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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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
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-26
Last Update Date:2010-07-22
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Provider Licenses
StateLicense IDTaxonomies
LA9860207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1508812058OtherNPI
LA1075116Medicaid
LA9860OtherMEDICAL LICENSE
4A978Medicare ID - Type Unspecified
LA1075116Medicaid
LA4A978CA68Medicare PIN