Dr. Camille Nina Immanuel
Pediatrician Pediatric Critical Care Doctor
4100 Cobscook Dr
Durham
, North Carolina 27707-5706
Dr. Camille Nina Immanuel
Pediatrician Pediatric Critical Care Doctor
4100 Cobscook Dr
Durham
, North Carolina 27707-5706
(276) 451-4700
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About
Features
Specialties
- Pediatrician
- Pediatric Critical Care Doctor
Languages spoken
- English
Location
First Address
- Dr. Camille Nina Immanuel
- 42 Sycamore Rd Apt C
- Clifton, NJ
- Zip : 07012-7330
- Phone : (276) 451-4700
Second Address
- Dr. Camille Nina Immanuel
- 4100 Cobscook Dr
- Durham, NC
- Zip : 27707-5706
- Fax : (276) 451-4700
- Phone : (276) 451-4700
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 39 | NJ |
| Y | 2080P0203X | Pediatric Critical Care Doctor | 10549592-1205 | UT |
National Provider Identifier
| NPI | 1295021483 |
|---|---|
| Provider Name | Dr. Camille Nina Immanuel |
| First Address | Clifton, NJ 07012-7330 |
| Second Address | Durham, NC 27707-5706 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/06/2011 |
| Last Update Date | 01/02/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| #39 | STUDENT & EDUCATION (01) | NJ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.