DR. MATHIEU MARCOUX


Address: 185 Pilgrim Rd, Deaconess 201, Boston, MA 02215-5324
Phone: 8577638832

DR. MATHIEU MARCOUX (NPI# 1417436353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417436353
Entity Type Individual
Full Name DR. MATHIEU MARCOUX
Credential MD, FRCPC
Practice Address 185 Pilgrim Rd, Deaconess 201
Boston
MA 02215-5324
Mailing Address 1 Nashua St Apt 1607
Boston
MA 02114-1623
Practice Telephone 8577638832
Mailing Telephone 8577638832
Enumeration Date 2018-08-10
Last Update Date 2018-08-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 185 PILGRIM RD, DEACONESS 201
City BOSTON
State MA
Zip Code 02215-5324

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1306495924 Anthony Rosellini Psychologist 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 2019-09-06
1427605278 Liana Zucco Student in an Organized Health Care Education/Training Program Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 2019-08-26
1831759430 Brian William Hayes Radiology 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 2019-06-17
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1922665439 Corey Shaphard Miller Student in an Organized Health Care Education/Training Program 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 2019-05-21
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306447636 Sarah Wieman Student in an Organized Health Care Education/Training Program 16 Blossom St Fl 1, Boston, MA 02114-3104 2020-11-03
1932709938 Brianna Mae Duval Student in an Organized Health Care Education/Training Program 58 Colborne Rd, Boston, MA 02135-4103 2020-10-28
1780281279 Sarah Hamad Alsaggabi Student in an Organized Health Care Education/Training Program 55 Traveler St Apt 1310, Boston, MA 02118-2973 2020-10-07
1821695933 Matthew John Needham Student in an Organized Health Care Education/Training Program 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 2020-10-02
1013524339 Jacqueline Busa Student in an Organized Health Care Education/Training Program Northeastern University 336 Huntington Ave, Boston, MA 02115 2020-09-30
1558978957 Tien-hsin Chang Student in an Organized Health Care Education/Training Program 1 Kneeland Street (tufts University School of Dental Me, Boston, MA 02111 2020-09-29
1417564279 Katherine Rose Brainard Student in an Organized Health Care Education/Training Program 336 Huntington Avenue, Boston, MA 02115 2020-09-25
1962018069 Cara Connors Student in an Organized Health Care Education/Training Program 18 Wiget St Apt 1, Boston, MA 02113-2363 2020-09-23
1023624608 Bernadette Avila Student in an Organized Health Care Education/Training Program 19 Peterborough St Apt 5, Boston, MA 02215-4409 2020-09-19
1588276281 Guoliang Qiao Student in an Organized Health Care Education/Training Program Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 2020-08-24
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Competitor

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City BOSTON
Zip Code 02215

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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