| NPI | 1326262379 |
|---|---|
| Former Legal Business Name | JUDITH C BLAISE MD LLC |
| Entity Type | Organization |
| Authorized Contact | JUDITH C BLAISE President 985-803-0584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA 020707) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2019-01-09 |