Healthcare Provider Details

I. General information

NPI: 1366463739
Provider Name (Legal Business Name): ALBERT J CAMMA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 07/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

751 FOREST AVE STE 202
ZANESVILLE OH
43701-2875
US

IV. Provider business mailing address

945 BETHESDA DR STE 200
ZANESVILLE OH
43701-1880
US

V. Phone/Fax

Practice location:
  • Phone: 740-588-9120
  • Fax: 740-588-9140
Mailing address:
  • Phone: 740-454-4788
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number35-030209
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: