Provider Demographics
NPI:1245219609
Name:COPE, JUDE J (DO)
Entity Type:Individual
Prefix:
First Name:JUDE
Middle Name:J
Last Name:COPE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4700 WICHERS DR STE 307
Mailing Address - Street 2:
Mailing Address - City:MARRERO
Mailing Address - State:LA
Mailing Address - Zip Code:70072-3054
Mailing Address - Country:US
Mailing Address - Phone:504-509-5437
Mailing Address - Fax:504-309-9307
Practice Address - Street 1:4700 WICHERS DR STE 307
Practice Address - Street 2:
Practice Address - City:MARRERO
Practice Address - State:LA
Practice Address - Zip Code:70072-3054
Practice Address - Country:US
Practice Address - Phone:504-509-5437
Practice Address - Fax:504-309-9307
Is Sole Proprietor?:No
Enumeration Date:2006-01-13
Last Update Date:2019-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA310570208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics