Individual
JUSTIN MICHAEL CAMACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
60 FENWOOD RD, BOSTON, MA 02115-6128
(617) 732-6753
Mailing address
3509 N BROAD ST FL 2, PHILADELPHIA, PA 19140-4105
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MT234258
MA
208600000X
Surgery Physician
Primary
MT234258
PA
Other
Enumeration date
05/13/2025
Last updated
03/26/2026
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