Provider Demographics
NPI:1578216214
Name:JUTRAS, CAMILLE (MD)
Entity Type:Individual
Prefix:MRS
First Name:CAMILLE
Middle Name:
Last Name:JUTRAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3175 CHEMIN DE LA COTE SAINTE-CATHERINE
Mailing Address - Street 2:DEPARTEMENT DES SOINS INTENSIFS/HOPITAL SAINTE JUSTINE
Mailing Address - City:MONTREAL
Mailing Address - State:QC CANADA
Mailing Address - Zip Code:H3T 1C5
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:300 LONGWOOD AVE BOSTON CHILDREN'S HOSPITAL
Practice Address - Street 2:BADER 634.
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:617-355-7327
Practice Address - Fax:617-730-0453
Is Sole Proprietor?:No
Enumeration Date:2022-02-02
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program