Individual
DR. ANTONIO CAMILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
80 PASSAIC AVE, PASSAIC, NJ 07055-4860
(973) 471-1010
(973) 471-4951
Mailing address
80 PASSAIC AVE, PASSAIC, NJ 07055-4860
(973) 471-1010
(973) 471-4951
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA07167400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0083691
—
NJ
05
—
8407304
—
NJ
05
—
8407509
—
NJ
Enumeration date
03/16/2006
Last updated
06/03/2008
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