Camilo, Antonio
Camilo, Antonio is an individual health care provider with primary practice located at 80 Passaic Ave , Passaic NJ 07055-4860. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Camilo, Antonio can be contacted via phone (973) 471-1010.Contact Information
Primary practice address
80 Passaic Ave
Passaic NJ 07055-4860
Phone: (973) 471-1010
Fax: (973) 471-4951
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25MA07167400 | New Jersey |
Profile Details
| NPI number | 1629047048 |
|---|---|
| LBN Legal business name | Camilo, Antonio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Jun 3rd, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629047048 | NPPES |
| New Jersey | MEDICAID | 0083691 | |
| New Jersey | MEDICAID | 8407509 | |
| New Jersey | MEDICAID | 8407304 |
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