MEDICARE: STEFFEN S CAMERON MD

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	35066705	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548242696
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEFFEN S CAMERON MD

Provider Business Mailing Address
First Line	:	551 WABASH AVE NW
Second Line	:
City	:	NEW PHILADELPHIA
State	:	OH
Zip	:	44663-4143
Country	:	US
Telephone Number	:	330-602-7531
Fax Number	:	330-602-2821

Provider Business Practice Location Address
First Line	:	551 WABASH AVE NW
Second Line	:
City	:	NEW PHILADELPHIA
State	:	OH
Zip	:	44663-4143
Country	:	US
Telephone Number	:	330-602-7531
Fax Number	:	330-602-2821

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

Provider Enumeration Date	:	11/15/2005
Last Update Date	:	11/17/2009

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Directions to “ STEFFEN S CAMERON MD” Practice Location

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