Provider Demographics
NPI:1235843418
Name:COUTURIER, CHARLES PIERRE (MD, PHD, FRCSC)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:PIERRE
Last Name:COUTURIER
Suffix:
Gender:M
Credentials:MD, PHD, FRCSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 ELLERY ST APT 2
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-4676
Mailing Address - Country:US
Mailing Address - Phone:857-260-8408
Mailing Address - Fax:
Practice Address - Street 1:60 FENWOOD RD FL BTM4
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6128
Practice Address - Country:US
Practice Address - Phone:617-732-8719
Practice Address - Fax:617-713-3050
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-11
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program