Individual
DR. CAMILLE N KOTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT STREET GRJ 504, INFECTIOUS DISEASE ASSOCIATES, BOSTON, MA 02114-2696
(617) 726-3812
(617) 726-7653
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0082
(617) 726-7653
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
156233
MA
207RI0200X
Infectious Disease Physician
Primary
156233
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
156233
TUFTS HEALTH PLAN
MA
05
—
3194264
—
MA
01
—
J21063
BCBS MA
MA
Enumeration date
11/29/2005
Last updated
05/20/2014
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