Provider Demographics
NPI:1457561649
Name:HANCOCK FRIESEN, CAMILLE L (MD)
Entity Type:Individual
Prefix:DR
First Name:CAMILLE
Middle Name:L
Last Name:HANCOCK FRIESEN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1769 SUMMER STREET
Mailing Address - Street 2:SUITE 2269 NEW HALIFAX INFIRMARY
Mailing Address - City:HALIFAX
Mailing Address - State:NOVA SCOTIA
Mailing Address - Zip Code:B3H 3A7
Mailing Address - Country:CA
Mailing Address - Phone:902-473-7597
Mailing Address - Fax:902-473-4448
Practice Address - Street 1:1769 SUMMER STREET
Practice Address - Street 2:SUITE 2269 NEW HALIFAX INFIRMARY
Practice Address - City:HALIFAX
Practice Address - State:NOVA SCOTIA
Practice Address - Zip Code:B3H 3A7
Practice Address - Country:CA
Practice Address - Phone:902-473-7597
Practice Address - Fax:902-473-4448
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA212897208600000X, 208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered208600000XAllopathic & Osteopathic PhysiciansSurgery
Not Answered208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)