Benjamin Joseph Boudreaux in Mandeville - Plastic Surgery
Benjamin Joseph Boudreaux - NPI 1720256365
Benjamin Joseph Boudreaux is a Plastic Surgery in Mandeville, Louisiana. Benjamin Joseph Boudreaux practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Benjamin Joseph Boudreaux is 1720256365. The last update date is 2016-09-12.
Benjamin Joseph Boudreaux's current location address is 3401 E Causeway Approach, Mandeville, Louisiana. You can contact this provider via phone number 9852376050 and fax number 9852376052. The mailing address for Benjamin Joseph Boudreaux is 3401 E Causeway Approach, Mandeville, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Benjamin Joseph Boudreaux |
|---|---|
| Address | 3401 E Causeway Approach, Mandeville, Louisiana |
| Phone Number | 9852376050 |
| Fax Number | 9852376052 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1720256365 |
|---|---|
| Provider Enumeration Date | 2008-02-18 |
| Last Updated Date | 2016-09-12 |
Provider Mailing Address Detail
| Address | 3401 E Causeway Approach |
|---|---|
| City | Mandeville |
| State | Louisiana (LA) |
| Post Code | 704483447 |
| Phone Number | 9852376050 |
| Fax Number | 9852376052 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery |
|---|---|
| Taxonomy | 208200000X |
| Licence No | MD.201940 |
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Definition: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1303216 | LA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Benjamin Joseph Boudreaux by the Centers for Medicare & Medicaid Services (CMS)?
The Benjamin Joseph Boudreaux has been assigned the NPI (National Provider Identifier) 1720256365. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Benjamin Joseph Boudreaux is physically located?
The Benjamin Joseph Boudreaux is situated at the following address: 3401 E Causeway Approach, Mandeville, LA 704483447.
What is Benjamin Joseph Boudreaux's area of expertise and its corresponding taxonomy classification?
The Benjamin Joseph Boudreaux's field of specialization is Plastic Surgery, and it falls under the taxonomy code 208200000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1720256365 to Benjamin Joseph Boudreaux?
The Benjamin Joseph Boudreaux received its 1720256365 assignment from the Centers for Medicare & Medicaid Services on 2008-02-18.
As of what date were the details pertaining to Benjamin Joseph Boudreaux last refreshed?
The information related to the Benjamin Joseph Boudreaux, including its address, specialty, and other relevant details, was last updated on 2016-09-12.