Individual
DR. JAIME J CAMACHO FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6201 LEESBURG PIKE, STE 410, FALLS CHURCH, VA 22044-2201
(703) 532-5044
(703) 532-5944
Mailing address
6201 LEESBURG PIKE, STE 410, FALLS CHURCH, VA 22044-2201
(703) 532-5044
(703) 532-5944
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101057770
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
765467
MEDICARE GROUP
—
Enumeration date
02/16/2006
Last updated
11/09/2007
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