Provider Demographics
NPI:1316143779
Name:CAMERON, GAIL SUZZETTE (MBBS)
Entity type:Individual
Prefix:DR
First Name:GAIL
Middle Name:SUZZETTE
Last Name:CAMERON
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:100 E PENN SQ FL 9
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-3377
Mailing Address - Country:US
Mailing Address - Phone:267-425-9408
Mailing Address - Fax:267-425-9299
Practice Address - Street 1:559-WEST GERMANTOWN PIKE
Practice Address - Street 2:EINSTEIN MEDICAL CENTER - MONTGOMERY
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19403
Practice Address - Country:US
Practice Address - Phone:484-662-2274
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-22
Last Update Date:2019-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLL30038208000000X
PAMD4491732080N0001X
MDD00710662080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics