Northshore Plastic Surgery, LLC
NPI #1568690469 in Mandeville, Louisiana
Provider Information
- NPI Number
- 1568690469
- Entity Type
- Organization
- Organization Name
- Northshore Plastic Surgery, LLC
- Primary Specialty
- Plastic Surgery
- Enumeration Date
- Jun 30, 2009
- Last Updated
- Apr 1, 2021
Practice Location
- Address
- 3401 E CAUSEWAY APPROACH
- City
- Mandeville
- State
- Louisiana
- ZIP Code
- 70448-3447
- Phone
- (985) 237-6050
Authorized Official
- Name
- DR. BENJAMIN J BOUDREAUX, M.D.
- Title
- MANAGER
- Phone
- (225) 588-4644
Specialties & Taxonomy Codes
| Specialty |
|---|
| Plastic Surgery |
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