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Individual

FATOUMATA HAIDARA CAMARA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
50 MONUMENT RD, BALA CYNWYD, PA 19004-1723
(610) 668-2570
Mailing address
6100 HENRY AVE APT 1M, PHILADELPHIA, PA 19128-1503
(267) 980-0195

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MA061473
PA
207N00000X
Dermatology Physician
OA005197
PA

Other

Enumeration date
05/29/2020
Last updated
05/29/2020
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