Individual
CAMILO E. FADUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1240 LEE ST, CHARLOTTESVILLE, VA 22908-0001
(434) 924-9333
(434) 244-7526
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
042-0008970
VT
207RH0003X
Hematology & Oncology Physician
9447
NH
2084N0400X
Neurology Physician
Primary
0101258543
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0RE3785
—
VT
05
—
800003785
—
NH
Enumeration date
06/18/2006
Last updated
08/09/2023
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