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NPI Code Detail

MEDICARE: DR. WILLIAM L CAMP JR. MD

MEDICARE: DR. WILLIAM L CAMP JR. 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
1207N00000XDermatology PhysicianMD 25639AL
2207N00000XDermatology Physician35.099860OH

General Provider Information

NPI Number : 1780625335
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM L CAMP JR. MD
Provider Business Mailing Address
First Line : 2500 METROHEALTH DR
Second Line : DEPT OF DERMATOLOGY H576
City : CLEVELAND
State : OH
Zip : 44109-1900
Country : US
Telephone Number : 216-778-3376
Fax Number :
Provider Business Practice Location Address
First Line : 2000 AUBURN DR STE 120
Second Line :
City : BEACHWOOD
State : OH
Zip : 44122-4328
Country : US
Telephone Number : 216-342-3333
Fax Number : 216-342-3233
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 03/25/2019

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