| Doctor Name: | EILEEN M CAMPETTI |
| NPI Number: | 1194065342 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | MA056029 |
| Business Practice Address: | 670 N River St Suite 201 Plains, PA - 187051027 |
| Business Phone Number: | 5702080150 |
| Business Fax Number: | 5702080154 |
| Mailing Address: | 1401 Electric St, DUNMORE |
| State: | PA |
| Postal Code: | 185092098 |
| Phone Number: | 5709699005 |
| Fax Number: | 5702070706 |
| NPI Enumeration Date: | 02/26/2013 |
| NPI Last Update Date: | 03/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | MA056029 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |