Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 233981 | MA |
N | 111NI0900X | Internist | 233981 | MA |
Y | 207RC0000X | Internist - Cardiovascular Disease | 233981 | MA |
N | 207RC0000X | Internist - Cardiovascular Disease | 238563 | NY |
NPI | 1003860115 |
---|---|
Provider Name | Gustavo P Camarano |
First Address | Springfield, MA 01199 |
Second Address | Miramar, FL 33027-6308 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2006 |
Last Update Date | 03/03/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H44866 | (02) |