Healthcare Provider Details

I. General information

NPI: 1538560073
Provider Name (Legal Business Name): CLAUDIA RENAUD M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2014
Last Update Date: 09/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 TUPPER ST. ROOM C-352
MONTREAL QUEBEC
H3H 1P3
CA

IV. Provider business mailing address

2300 TUPPER ST. ROOM C-352
MONTREAL QUEBEC
H3H 1P3
CA

V. Phone/Fax

Practice location:
  • Phone: 514-412-4400
  • Fax: 514-412-4273
Mailing address:
  • Phone: 514-412-4400
  • Fax: 514-412-4273

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: