Provider Demographics
NPI:1881665362
Name:CAMERINO, EDWARD GABRIEL (MD)
Entity Type:Individual
Prefix:
First Name:EDWARD
Middle Name:GABRIEL
Last Name:CAMERINO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:44 LANCASTER AVE
Mailing Address - Street 2:
Mailing Address - City:EPHRATA
Mailing Address - State:PA
Mailing Address - Zip Code:17522-1700
Mailing Address - Country:US
Mailing Address - Phone:717-738-2468
Mailing Address - Fax:717-738-9936
Practice Address - Street 1:44 LANCASTER AVE
Practice Address - Street 2:
Practice Address - City:EPHRATA
Practice Address - State:PA
Practice Address - Zip Code:17522-1700
Practice Address - Country:US
Practice Address - Phone:717-738-2468
Practice Address - Fax:717-738-9936
Is Sole Proprietor?:No
Enumeration Date:2006-01-31
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD 041289 E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine