Individual
CAMILLE V EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
830 HARRISON AVE, 3RD FL, MOAKLEY, HEMATOLOGY/ONCOLOGY, BOSTON, MA 02118-2905
(617) 638-6428
(617) 638-5756
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
283337
MA
207R00000X
Internal Medicine Physician
ET90-064
MA
207RH0000X
Hematology (Internal Medicine) Physician
283337
MA
207RH0000X
Hematology (Internal Medicine) Physician
ET90-064
MA
207RX0202X
Medical Oncology Physician
Primary
283337
MA
207RX0202X
Medical Oncology Physician
ET90-064
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110124511A
—
MA
Enumeration date
07/23/2014
Last updated
04/02/2024
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