MEDICARE: MICHELLE CAMMARATA DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	220684	NY

General Provider Information

NPI Number	:	1609860121
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE CAMMARATA DO

Provider Business Mailing Address
First Line	:	5441 WEYHILL LN
Second Line	:
City	:	DOYLESTOWN
State	:	PA
Zip	:	18902-8701
Country	:	US
Telephone Number	:	617-204-3500
Fax Number	:	617-517-9155

Provider Business Practice Location Address
First Line	:	5441 WEYHILL LN
Second Line	:
City	:	DOYLESTOWN
State	:	PA
Zip	:	18902-8701
Country	:	US
Telephone Number	:	617-204-3500
Fax Number	:	617-517-9155

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2005
Last Update Date	:	05/01/2023

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