Individual
MARIANNE CAMARGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
90 BERGEN ST, SUITE 4400, NEWARK, NJ 07103-2425
(973) 972-1880
Mailing address
185 S ORANGE AVE, MSB C-646, NEWARK, NJ 07103-2757
(973) 972-4823
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
260152
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA09289500
NEW JERSEY
NJ
Enumeration date
06/05/2008
Last updated
12/16/2013
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