Provider Demographics
NPI:1215315809
Name:CAMARENA, DEMITRIO JAMES (MD)
Entity type:Individual
Prefix:DR
First Name:DEMITRIO
Middle Name:JAMES
Last Name:CAMARENA
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 1:4 LANGLEY RD
Mailing Address - Street 2:APT. 2
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-3011
Mailing Address - Country:US
Mailing Address - Phone:303-489-2540
Mailing Address - Fax:
Practice Address - Street 1:736 CAMBRIDGE STREET, #213
Practice Address - Street 2:ST. ELIZABETH'S MEDICAL CENTER, ANESTHESIOLOGY
Practice Address - City:BRIGHTON
Practice Address - State:MA
Practice Address - Zip Code:02135
Practice Address - Country:US
Practice Address - Phone:617-789-2777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-14
Last Update Date:2016-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA268684207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology