Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JUDITH CANELLA BLAISE, M.D.
ActiveDR. JUDITH CANELLA BLAISE, M.D. is a Obstetrics healthcare provider located in THIBODAUX, Louisiana. NPI 1275578130 is currently active in the NPPES registry. Verify at CMS.
Obstetrics · THIBODAUX, LA
Registration Details
- NPI Number
- 1275578130
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 17, 2006 (20.157999328294 yrs)
- Last Updated
- Jan 9, 2019
- Licenses
-
020707 (LA)MD.020707 (LA)
Practice Information
- Address
-
602 N ACADIA RDTHIBODAUX, LA, 703014823Browse LA providers · Browse ZIP 70301
- Phone
- 9854934706
- Fax
- 9854492595
- Primary Specialty
-
Obstetrics
207VX0000X
- Additional Specialty
- Obstetrics
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.