Individual
CHARLES E CAMACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
126 E CHURCH ST, SUITE 3100, SOMERSET, PA 15501-2271
(814) 445-3535
(814) 445-3245
Mailing address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(814) 410-8300
(814) 410-8331
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD073437L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018425730001
—
PA
01
—
118690
MEDPLUS
PA
01
—
1517646
GATEWAY HEALTH PLAN
PA
01
—
219062
UPMC HEALTH PLAN
PA
Enumeration date
09/14/2005
Last updated
10/07/2016
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