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NPI Code Detail

MEDICARE: JEFFREY C CAMERON JR. PA-C

MEDICARE: JEFFREY C CAMERON JR. PA-C
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
1363A00000XPhysician AssistantMA052305PA

Other Identifiers

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

General Provider Information

NPI Number : 1649245267
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY C CAMERON JR. PA-C
Provider Business Mailing Address
First Line : 380 W CHESTNUT ST STE 101
Second Line :
City : WASHINGTON
State : PA
Zip : 15301-4658
Country : US
Telephone Number : 724-228-1414
Fax Number : 724-228-8579
Provider Business Practice Location Address
First Line : 380 W CHESTNUT ST STE 101
Second Line :
City : WASHINGTON
State : PA
Zip : 15301-4658
Country : US
Telephone Number : 724-228-1414
Fax Number : 724-228-8579
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2006
Last Update Date : 09/30/2020

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Directions to “ JEFFREY C CAMERON JR. PA-C” Practice Location

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