Individual
JACQUELINE R CAMERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
164 OTROBANDO AVE, NORWICH, CT 06360-2116
(860) 425-8740
(860) 886-1445
Mailing address
1290 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4337
(312) 498-8252
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-094554
IL
207R00000X
Internal Medicine Physician
Primary
71961
CT
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
036094554
IL
Other
Enumeration date
07/22/2006
Last updated
09/08/2022
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