Individual
NORMA CAMACHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
900 GRAND AVE, SUITE 3, NEW HAVEN, CT 06511-4973
(203) 907-4667
(203) 907-4086
Mailing address
900 GRAND AVE, SUITE 3, NEW HAVEN, CT 06511-4973
(203) 907-4667
(203) 907-4086
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
001515
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001515
LICENSE
CT
01
—
050001515CT01
ANTHEM
—
01
—
1046062
CIGNA
—
Enumeration date
08/24/2006
Last updated
07/08/2007
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