Provider Demographics
NPI:1285049510
Name:CAMILON, PHILIP RYAN MOLARTE (MD)
Entity type:Individual
Prefix:DR
First Name:PHILIP RYAN
Middle Name:MOLARTE
Last Name:CAMILON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:104 ENDICOTT ST STE 100
Mailing Address - Street 2:
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923-0009
Mailing Address - Country:US
Mailing Address - Phone:978-745-6601
Mailing Address - Fax:978-744-4872
Practice Address - Street 1:104 ENDICOTT ST STE 100
Practice Address - Street 2:
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-0009
Practice Address - Country:US
Practice Address - Phone:978-745-6601
Practice Address - Fax:978-744-4872
Is Sole Proprietor?:No
Enumeration Date:2014-06-25
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA1016606207Y00000X, 207YP0228X
UT11273467-1205207YP0228X
SC37240208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YP0228XAllopathic & Osteopathic PhysiciansOtolaryngologyPediatric Otolaryngology
No207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No208600000XAllopathic & Osteopathic PhysiciansSurgery