Provider Demographics
NPI:1306171178
Name:CAMILLERI, FRANCES P
Entity type:Individual
Prefix:
First Name:FRANCES
Middle Name:P
Last Name:CAMILLERI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:183 GIBSON BLVD
Mailing Address - Street 2:#8
Mailing Address - City:CLARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07066-1438
Mailing Address - Country:US
Mailing Address - Phone:908-590-2238
Mailing Address - Fax:
Practice Address - Street 1:183 GIBSON BLVD
Practice Address - Street 2:#8
Practice Address - City:CLARK
Practice Address - State:NJ
Practice Address - Zip Code:07066-1438
Practice Address - Country:US
Practice Address - Phone:908-590-2238
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-12
Last Update Date:2011-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QB00155100225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant