Provider Demographics
NPI:1013125582
Name:CAMBOR, ROGER LOUIS (MD)
Entity Type:Individual
Prefix:DR
First Name:ROGER
Middle Name:LOUIS
Last Name:CAMBOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 STEPNEY PL
Mailing Address - Street 2:
Mailing Address - City:NARBERTH
Mailing Address - State:PA
Mailing Address - Zip Code:19072-1610
Mailing Address - Country:US
Mailing Address - Phone:720-470-3802
Mailing Address - Fax:
Practice Address - Street 1:2001 PROVIDENCE AVE
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19013-5504
Practice Address - Country:US
Practice Address - Phone:610-876-9000
Practice Address - Fax:484-490-0116
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO402482084P0800X
CO404282084P0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry