Individual
JOSE A. CAMACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
190 N EVERGREEN AVE STE 102, WOODBURY, NJ 08096-1862
(844) 542-2273
(856) 845-9698
Mailing address
190 N EVERGREEN AVE, SUITE 102, WOODBURY, NJ 08096-1862
(844) 542-2273
(856) 845-9398
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA05594500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4604806
—
NJ
Enumeration date
09/22/2006
Last updated
03/02/2018
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