Whalio Doctors

NPI 1720256365

Benjamin Joseph Boudreaux, MD

Practitioner Plastic Surgery Physician Mandeville, LA

Practice location

Address
3401 E Causeway Approach, Mandeville, LA 70448-3447
Phone
(985) 237-6050
Fax
(985) 237-6052

Registered specialties

Plastic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence MD.201940 (LA)

Registry record

NPI
1720256365
Entity type
Individual
Sex (as registered)
Male
NPI issued
18 Feb 2008
Record last updated
12 Sep 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.