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Individual

EDWIN CAMIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1440 RUSSELL RD, PAOLI, PA 19301-1236
(610) 644-6464
Mailing address
1440 RUSSELL RD, PAOLI, PA 19301-1236

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD019389E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0056580000
IBC
PA
01
226642000
KEYSTONE
PA
01
5849797
AETNA
PA
Enumeration date
11/08/2006
Last updated
05/30/2008
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