Individual
DR. TERESA MARIA CAMDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5211 W BROAD ST, 101, RICHMOND, VA 23230-3009
(804) 288-3025
(804) 288-3029
Mailing address
5252 LYNGATE CT, 203, BURKE, VA 22015-1672
(703) 239-2300
(703) 239-2301
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
0101238212
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010223849
—
VA
01
—
0472640005
DMERC
VA
01
—
10003094
OPTIMA HEALTH
VA
01
—
185138
ANTHEM HEALTHKEEPERS
VA
01
—
540885859
C&O EMPLOYEE'S HEALTHCARE
VA
01
—
61270
SH CARENET
VA
01
—
7575263
AETNA HMO
VA
01
—
P00281047
RAILROAD MEDICARE
VA
Enumeration date
06/10/2006
Last updated
01/21/2016
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