Individual
JUDITH T. FISHBEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8490 PICARDY AVE, RM 711, BATON ROUGE, LA 70809-3731
(225) 767-1437
(225) 767-5641
Mailing address
6432 MILLSTONE AVE, BATON ROUGE, LA 70808-5110
(225) 766-9515
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
02924R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1137235
—
LA
Enumeration date
08/24/2006
Last updated
07/08/2007
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