Individual
CAMILLE IVAH ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
175 KIMEL PARK DR, WINSTON SALEM, NC 27103-6951
(336) 718-1006
(336) 718-1099
Mailing address
405 GROVE ST, SUITE 304, WORCESTER, MA 01605-1270
(508) 890-5500
(508) 890-5505
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
223309
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042472266
UNITED HEALTHCARE
—
01
—
1212746
CIGNA HEALTH PLAN
—
01
—
2101513
MEDICAID WELFARE
—
05
—
2101513
—
MA
01
—
2283928
FIRST HEALTH
—
01
—
470259
TUFTS HEALTH PLAN
—
01
—
7668645
AETNA US HEALTHCARE
—
01
—
787925
MVP HEALTH CARE
—
01
—
87361
CHILDRENS MEDICAL SECURIT
—
01
—
92299
FALLON COMMUNITY HEALTH
—
01
—
AA30837
HARVARD PILGRIM HEALTHCAR
—
01
—
J28697
BLUE CROSS ELECT
—
Enumeration date
02/28/2006
Last updated
06/30/2025
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