Provider Demographics
NPI:1295137172
Name:PEREIRA-ESHRAGHI, CAMILA FREITAS (MD)
Entity type:Individual
Prefix:
First Name:CAMILA
Middle Name:FREITAS
Last Name:PEREIRA-ESHRAGHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:HAWORTH
Mailing Address - State:NJ
Mailing Address - Zip Code:07641-1820
Mailing Address - Country:US
Mailing Address - Phone:954-243-2258
Mailing Address - Fax:
Practice Address - Street 1:90 GEORGE RUSSELL WAY
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-2681
Practice Address - Country:US
Practice Address - Phone:954-243-2258
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-22
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2857692080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology