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Dr. Judith Canella Blaise, MD
Obstetrics Physician in Thibodaux, Louisiana
NPI 1275578130

Judith Canella Blaise is a Obstetrics Physician based in Thibodaux, LA and is specialized in Obstetrics. Judith Canella Blaise practices in Thibodaux, LA and has the professional credentials of MD. The NPI Number for Judith Canella Blaise is 1275578130 and holds a License No. 020707 (Louisiana).

The current practice location address for Judith Canella Blaise is 602 N Acadia Rd, Thibodaux, LA and can be reached out via phone at 985-493-4706 and via fax at 985-449-2595.

Location: 602 N Acadia Rd, Thibodaux, LA, 70302-5237
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275578130
Provider Name
Judith Canella Blaise
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
602 N Acadia Rd, Thibodaux, LA, 70302-5237
Phone Number
985-493-4706
Fax Number
985-449-2595
Provider Enumeration Date
06/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1540161 05 LA
institution
Provider Business Practice Location Address Details
Address
602 N Acadia Rd
City
Thibodaux
State
Louisiana
Zip
70301-4823
Phone Number
985-493-4706
Fax Number
985-449-2595
person
Provider Business Mailing Address Details
Address
602 N Acadia Rd
City
Thibodaux
State
Louisiana
Zip
70301-4823
Phone Number
985-493-4706
Fax Number
985-449-2595
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
MD.020707 (Louisiana)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Obstetrics
Taxonomy
207VX0000X
License No.
020707 (Louisiana)
Definition
Definition to come...
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