Provider Demographics
NPI:1548912132
Name:PICHER-MARTEL, VINCENT (MD, PHD)
Entity type:Individual
Prefix:MR
First Name:VINCENT
Middle Name:
Last Name:PICHER-MARTEL
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7521 10E AVENUE-EST
Mailing Address - Street 2:
Mailing Address - City:QUEBEC CITY
Mailing Address - State:QUEBEC
Mailing Address - Zip Code:G1H 7N8
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:55 FRUIT STREET
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114
Practice Address - Country:US
Practice Address - Phone:617-726-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-25
Last Update Date:2022-12-22
Deactivation Date:2022-12-19
Deactivation Code:
Reactivation Date:2022-12-22
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program