Provider Demographics
NPI:1215567292
Name:FRANK, CAMILLE HELENE (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:CAMILLE
Middle Name:HELENE
Last Name:FRANK
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:DR
Other - First Name:CAMILLE
Other - Middle Name:HELENE
Other - Last Name:NICOLAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, PHD
Mailing Address - Street 1:2237 MOORE ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90039-3616
Mailing Address - Country:US
Mailing Address - Phone:301-655-4892
Mailing Address - Fax:
Practice Address - Street 1:300 LONGWOOD AVE
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-5724
Practice Address - Country:US
Practice Address - Phone:617-355-6129
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-18
Last Update Date:2020-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program