Individual
DR. CAMILO CABANERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
285 DAVIDSON AVENUE, ACNJ - SUITE 204, SOMERSET, NJ 08876
(732) 271-1400
(732) 271-3543
Mailing address
1431 WASHINGTON VALLEY RD, BRIDGEWATER, NJ 08807-1436
(908) 393-2728
(732) 271-3543
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MA02858600
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
25MA02858600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NJ
Enumeration date
04/20/2006
Last updated
05/01/2013
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