Provider Demographics
NPI:1831351048
Name:CHRISTOFFERSEN-DEB, ASTRID (MDCM)
Entity type:Individual
Prefix:DR
First Name:ASTRID
Middle Name:
Last Name:CHRISTOFFERSEN-DEB
Suffix:
Gender:F
Credentials:MDCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:169 BEDBROOK AVENUE
Mailing Address - Street 2:
Mailing Address - City:MONTREAL WEST
Mailing Address - State:QUEBEC
Mailing Address - Zip Code:H4X1R7
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:DEPT OBSTETRICS & GYNAECOLOGY
Practice Address - Street 2:92 COLLEGE STREET
Practice Address - City:TORONTON
Practice Address - State:ON
Practice Address - Zip Code:M5G1L4
Practice Address - Country:CA
Practice Address - Phone:416-978-2668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-29
Last Update Date:2010-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA241855207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology