Provider Demographics
NPI:1972034098
Name:TIMOSSINI, CAMILLE (DC)
Entity Type:Individual
Prefix:
First Name:CAMILLE
Middle Name:
Last Name:TIMOSSINI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10107 NEW HAMPSHIRE AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20903-1713
Mailing Address - Country:US
Mailing Address - Phone:301-439-8000
Mailing Address - Fax:
Practice Address - Street 1:10107 NEW HAMPSHIRE AVE
Practice Address - Street 2:SUITE A
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20903-1713
Practice Address - Country:US
Practice Address - Phone:301-439-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-21
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS03902111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor