Provider Demographics
NPI:1679697585
Name:CAMERON, DONALD DREWS (MD)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:DREWS
Last Name:CAMERON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 N MIDDLETOWN RD
Mailing Address - Street 2:APT. B-101
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-4422
Mailing Address - Country:US
Mailing Address - Phone:610-565-5672
Mailing Address - Fax:
Practice Address - Street 1:411 N MIDDLETOWN RD
Practice Address - Street 2:APT. B-101
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-4422
Practice Address - Country:US
Practice Address - Phone:610-565-5672
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD011485E2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology