Provider Demographics
NPI:1780744250
Name:SERRANO, CAMILO FRANCISCO (MD)
Entity type:Individual
Prefix:DR
First Name:CAMILO
Middle Name:FRANCISCO
Last Name:SERRANO
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 1:441 CLARK CT
Mailing Address - Street 2:
Mailing Address - City:FRANKLINVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08322-2142
Mailing Address - Country:US
Mailing Address - Phone:856-299-3200
Mailing Address - Fax:856-299-7183
Practice Address - Street 1:500 S PENNSVILLE AUBURN RD
Practice Address - Street 2:
Practice Address - City:CARNEYS POINT
Practice Address - State:NJ
Practice Address - Zip Code:08069-2936
Practice Address - Country:US
Practice Address - Phone:856-299-3200
Practice Address - Fax:856-299-7183
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMAO702322084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJH11502Medicare UPIN