Individual
DR. CAMILLE NINA IMMANUEL
Active
Individual
DR. CAMILLE NINA IMMANUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD MHS
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
39
NJ
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
10549592-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
#39
STUDENT & EDUCATION
NJ
Enumeration date
06/26/2011
Last updated
02/01/2018
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