Hersh, Camilla C.
Hersh, Camilla C. is an individual health care provider with primary practice located at 1800 Town Center Drive Suite 220 , Reston VA 20190-3238. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Hersh, Camilla C. can be contacted via phone (703) 435-2555.Contact Information
Primary practice address
1800 Town Center Drive Suite 220
Reston VA 20190-3238
Phone: (703) 435-2555
Fax: (571) 926-8910
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 0101040930 | Virginia |
Profile Details
NPI number | 1114996071 |
---|---|
LBN Legal business name | Hersh, Camilla C. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 14th, 2006 |
Last updated | Mar 12th, 2024 - about last year |
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 | 1114996071 | NPPES |
Virginia | MEDICAID | 1114996071 | |
Virginia | MEDICAID | 30015952540002 | |
Virginia | Other | P01240011 |
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