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Individual

DR. BENJAMIN JOSEPH BOUDREAUX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3401 E CAUSEWAY APPROACH, MANDEVILLE, LA 70448-3447
(985) 237-6050
(985) 237-6052
Mailing address
3401 E CAUSEWAY APPROACH, MANDEVILLE, LA 70448-3447
(985) 237-6050
(985) 237-6052

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD.201940
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1303216
LA
Enumeration date
02/18/2008
Last updated
09/12/2016
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