Provider Demographics
NPI:1750446209
Name:NAUGLE, THOMAS CALVERT JR (MD)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:CALVERT
Last Name:NAUGLE
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:2633 NAPOLEON AVE
Mailing Address - Street 2:STE 814
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115
Mailing Address - Country:US
Mailing Address - Phone:504-899-1715
Mailing Address - Fax:504-897-2162
Practice Address - Street 1:2633 NAPOLEON AVE
Practice Address - Street 2:STE 814
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115
Practice Address - Country:US
Practice Address - Phone:504-899-1715
Practice Address - Fax:504-897-2162
Is Sole Proprietor?:No
Enumeration Date:2006-12-26
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
LA0107412086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA54264Medicare ID - Type Unspecified
B6515Medicare UPIN