Individual
JUAN CARLOS VILLA CAMACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST # ST242, BOSTON, MA 02114-2621
(617) 724-4255
Mailing address
55 FRUIT ST, FND 242, BOSTON, MA 02114
(617) 724-4255
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
267602
MA
Other
Enumeration date
06/16/2016
Last updated
07/21/2022
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