Individual
DR. THEODORE CAMISCIOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D,
Contact information
Practice address
28 LANE OF ACRES, HADDONFIELD, NJ 08033-3505
(856) 428-5397
(856) 428-5397
Mailing address
28 LANE OF ACRES, HADDONFIELD, NJ 08033-3505
(856) 428-5397
(856) 428-5397
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25MA02274700
NJ
Other
Enumeration date
08/14/2009
Last updated
08/14/2009
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