Provider Demographics
NPI:1730473042
Name:R. JOSEPH TAMIMIE, MD, APMC
Entity Type:Organization
Organization Name:R. JOSEPH TAMIMIE, MD, APMC
Other - Org Name:EAST JEFFERSON OCCUPATIONAL MEDICINE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RASHID
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:TAMIMIE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-779-2667
Mailing Address - Street 1:3601 HOUMA BLVD.
Mailing Address - Street 2:SUITE #203
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006
Mailing Address - Country:US
Mailing Address - Phone:504-779-2667
Mailing Address - Fax:504-889-7120
Practice Address - Street 1:3601 HOUMA BLVD.
Practice Address - Street 2:SUITE #203
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006
Practice Address - Country:US
Practice Address - Phone:504-779-2667
Practice Address - Fax:504-889-7120
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:R. JOSEPH TAMIMIE, MD, APMC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-06-03
Last Update Date:2011-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA06979R261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center