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Contact Information

BENJAMIN J BOUDREAUX, MD
3401 E CAUSEWAY APPROACH
MANDEVILLE, LA70448-3447
 Phone: 985-237-6050
 Fax: 985-237-6052
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for BENJAMIN J BOUDREAUX · (Male)

NPI # 1720256365
Status Active
Credentials MD
Entity Individual
Enumeration date 02/18/2008
Last updated 09/12/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • LA License # MD.201940
  • LA Medicaid 1303216
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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