Provider Demographics
NPI:1558454744
Name:TULANE UNIV. HEALTH SCIENCES CENTER
Entity Type:Organization
Organization Name:TULANE UNIV. HEALTH SCIENCES CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROFESSOR & SECTION CHIEF OF DERM
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:BOH
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:505-988-5114
Mailing Address - Street 1:1430 TULANE AVENUE
Mailing Address - Street 2:DEPT OF DERMATOLOGY BOX TB 36
Mailing Address - City:NEW ORELANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112
Mailing Address - Country:US
Mailing Address - Phone:504-988-5114
Mailing Address - Fax:504-988-7382
Practice Address - Street 1:1430 TULANE AVE # TB-36
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-2632
Practice Address - Country:US
Practice Address - Phone:504-988-5114
Practice Address - Fax:504-988-7382
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA018341207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAE14243Medicare UPIN