Healthcare Provider Details

I. General information

NPI: 1427173368
Provider Name (Legal Business Name): CAROLINE C MEUNIER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MAISONNEUVE-ROSEMONT HOSPITAL 5415 L'ASSOMPTION BLVD.
MONTREAL QC
HIT2M4
CA

IV. Provider business mailing address

102 BIRTZ
BOUCHERVILLE QC
J4B4B5
CA

V. Phone/Fax

Practice location:
  • Phone: 514-252-3498
  • Fax:
Mailing address:
  • Phone: 514-252-3498
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License Number151259
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: