Provider Demographics
NPI:1942453865
Name:JOSEPH SAMPOGNARO III
Entity Type:Organization
Organization Name:JOSEPH SAMPOGNARO III
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMPOGNARO
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:504-889-9877
Mailing Address - Street 1:3800 HOUMA BLVD
Mailing Address - Street 2:SUITE 230
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-4182
Mailing Address - Country:US
Mailing Address - Phone:504-889-9877
Mailing Address - Fax:504-889-9880
Practice Address - Street 1:3800 HOUMA BLVD
Practice Address - Street 2:SUITE 230
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-4182
Practice Address - Country:US
Practice Address - Phone:504-889-9877
Practice Address - Fax:504-889-9880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-23
Last Update Date:2008-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA013270207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty