Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251H1200X | Hand | J1-000111 | DE |
NPI | 1629152988 |
---|---|
Provider Name | Ms. Catherine Ann Cambridge |
First Address | Indiana, PA 15701-3501 |
Second Address | Wilmington, DE 19803-1492 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2006 |
Last Update Date | 24/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1629152988 | (05) | DE |
2146033 | HIGHMARK (01) | PA |
2786855 | HIGHMARK (01) | DE |
3450031 | (05) | MD |
3764416000 | AMERIHEALTH (01) | DE |
AC44-0032 | CAREFIRST (01) | DE |
P01175491 | MEDICARE RR (01) | DE |