Individual
CAMILLE M BUONOCORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2000 OXFORD DR, SUITE 200, BETHEL PARK, PA 15102-1827
(412) 942-2140
(412) 942-6027
Mailing address
PO BOX 3445, PITTSBURGH, PA 15230-3445
(412) 937-8887
(412) 937-9221
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD044291E
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001400867
—
PA
01
—
0734545
CIGNA
PA
01
—
1003718
GATEWAY
PA
01
—
1016962350002
MEDICAID GROUP NO
PA
01
—
103537
PA MCR GROUP PTAN
PA
01
—
185577
UNISON
PA
01
—
250391
UPMC
PA
01
—
4413728
AETNA
PA
01
—
469022
BCBS
PA
01
—
P00357335
RR MEDICARE
PA
Enumeration date
06/16/2005
Last updated
02/19/2016
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