Provider Demographics
NPI:1821288903
Name:DE CLARO, ANNA MARIA OCAMPO (MD)
Entity Type:Individual
Prefix:
First Name:ANNA MARIA
Middle Name:OCAMPO
Last Name:DE CLARO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANNA MARIA
Other - Middle Name:SANDICO
Other - Last Name:OCAMPO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, MPH
Mailing Address - Street 1:26 ROYAL ST
Mailing Address - Street 2:APARTMENT # 3
Mailing Address - City:ALLSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02134-1550
Mailing Address - Country:US
Mailing Address - Phone:973-342-3093
Mailing Address - Fax:
Practice Address - Street 1:CHILDREN'S HOSPITAL
Practice Address - Street 2:300 LONGWOOD AVENUE, FEGAN 10
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:617-355-7025
Practice Address - Fax:617-730-0252
Is Sole Proprietor?:No
Enumeration Date:2007-07-26
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1003962080P0006X
MA2312652080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics