Individual
CANDICE CAMACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17 PROSPECT ST, NASHUA, NH 03060-3923
(603) 594-6337
(603) 594-6330
Mailing address
PO BOX 3677, NASHUA, NH 03061-3677
(603) 577-7900
(603) 577-7972
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12291
NH
208000000X
Pediatrics Physician
12291
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01YP07431NH01
ANTHEM ACES PIN
NH
05
—
30204349
—
NH
01
—
30777Y
ANTHEM REFERRING RAN
NH
01
—
3668348
AETNA PIN
NH
01
—
465557
TUFTS PIN
NH
01
—
5796013
CIGNA PIN
NH
01
—
AA12104
HPHC PIN
NH
Enumeration date
11/07/2005
Last updated
02/27/2013
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