Provider Demographics
NPI:1871541938
Name:SEMPLE, CAMILLE E (DO)
Entity type:Individual
Prefix:DR
First Name:CAMILLE
Middle Name:E
Last Name:SEMPLE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 EDGELY PL
Mailing Address - Street 2:P.O. BOX 2013
Mailing Address - City:WILLINGBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08046-2362
Mailing Address - Country:US
Mailing Address - Phone:609-871-8337
Mailing Address - Fax:
Practice Address - Street 1:215 SUNSET RD
Practice Address - Street 2:SUITE 204
Practice Address - City:WILLINGBORO
Practice Address - State:NJ
Practice Address - Zip Code:08046-1108
Practice Address - Country:US
Practice Address - Phone:609-871-6800
Practice Address - Fax:609-871-9399
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB07130000207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8993203Medicaid
NJ8993203Medicaid
NJH77340Medicare UPIN