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Individual
CAMILLE D AUDETTE
Active
Individual
CAMILLE D AUDETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
292331
MA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
292331
MA
208M00000X
Hospitalist Physician
292331
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110153943A
—
MA
Enumeration date
03/20/2019
Last updated
06/26/2026
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