Individual
JEANETTE M CAMACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 342-2506
(856) 968-8312
Mailing address
3 COOPER PLZ, SUITE 502, CAMDEN, NJ 08103-1438
(856) 968-7433
(856) 968-8499
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MA58158
NJ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD045264E
PA
207ZP0213X
Pediatric Pathology Physician
MA58158
NJ
207ZP0213X
Pediatric Pathology Physician
MD045264E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010003886
AMERICHOICE
—
01
—
0295554000
AMERIHEALTH HMO, KEYSTONE, IBC
—
01
—
1012256
HORIZON NJ HEALTH
—
01
—
1448372
UNITED HEALTHCARE
—
01
—
24974
UNIVERSITY HEALTHPLAN
—
05
—
5290601
—
NJ
01
—
64713
AMERIHEALTH PPO
—
01
—
P694316
OXFORD
—
01
—
XK5420
HEALTHNET
—
Enumeration date
10/13/2006
Last updated
04/22/2016
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