Dr. Judith Canella Blaise
Obstetrician & Gynecologist Obstetrician
602 N Acadia Rd
Thibodaux
, Louisiana 70301-4823
Dr. Judith Canella Blaise
Obstetrician & Gynecologist Obstetrician
602 N Acadia Rd
Thibodaux
, Louisiana 70301-4823
(985) 449-0700
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About
Features
Specialties
- Obstetrician & Gynecologist
- Obstetrician
Languages spoken
- English
Location
First Address
- Dr. Judith Canella Blaise
- Po Box 5237
- Thibodaux, LA
- Zip : 70302-5237
- Fax : (985) 449-0700
- Phone : (985) 803-0584
Second Address
- Dr. Judith Canella Blaise
- 602 N Acadia Rd
- Thibodaux, LA
- Zip : 70301-4823
- Fax : (985) 449-2595
- Phone : (985) 493-4706
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207V00000X | Obstetrician & Gynecologist | 020707 | LA |
| Y | 207VX0000X | Obstetrician | MD.020707 | LA |
National Provider Identifier
| NPI | 1275578130 |
|---|---|
| Provider Name | Dr. Judith Canella Blaise |
| First Address | Thibodaux, LA 70302-5237 |
| Second Address | Thibodaux, LA 70301-4823 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/06/2006 |
| Last Update Date | 09/01/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1540161 | (05) | LA |
| G69789 | (02) | LA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.