Roberts, Camille I

Roberts, Camille I is an sole proprietor health care provider with primary practice located at 405 Grove St Suite 304, Worcester MA 01605-1270. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Roberts, Camille I can be contacted via phone (508) 890-5500.

Contact Information

Primary practice address
405 Grove St Suite 304 Worcester MA 01605-1270
Phone: (508) 890-5500
Fax: (508) 890-5505
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 223309 Massachusetts

Profile Details

NPI number 1376519421
LBN Legal business name Roberts, Camille I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2006
Last updated May 11th, 2010 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376519421 NPPES
Other 042472266 PRIVATE HEALTHCARE SYSTEM
Other 2101513 PRIVATE HEALTHCARE SYSTEM
Other AA30837 PRIVATE HEALTHCARE SYSTEM
Other 470259 PRIVATE HEALTHCARE SYSTEM
Other 7668645 PRIVATE HEALTHCARE SYSTEM
Other 787925 PRIVATE HEALTHCARE SYSTEM
Other J28697 PRIVATE HEALTHCARE SYSTEM
Other 042472266 PRIVATE HEALTHCARE SYSTEM
Other 042472266 PRIVATE HEALTHCARE SYSTEM
Other 2283928 PRIVATE HEALTHCARE SYSTEM
Other 87361 PRIVATE HEALTHCARE SYSTEM
Other 92299 PRIVATE HEALTHCARE SYSTEM
Other J28697 PRIVATE HEALTHCARE SYSTEM
Other J28697 PRIVATE HEALTHCARE SYSTEM
Other 1212746 PRIVATE HEALTHCARE SYSTEM
Other 87361 PRIVATE HEALTHCARE SYSTEM
Other 042472266 PRIVATE HEALTHCARE SYSTEM
MEDICAID 2101513 PRIVATE HEALTHCARE SYSTEM

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