Doctor Name: | MR. ALFRED P CAMPBELL |
NPI Number: | 1881671873 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA |
License Number: | MP00451 |
Business Practice Address: | 129 Maple Ave Fair Haven, NJ - 077043421 |
Business Phone Number: | 7329330333 |
Business Fax Number: | 7329330333 |
Mailing Address: | 129 Maple Ave, FAIR HAVEN |
State: | NJ |
Postal Code: | 077043421 |
Phone Number: | 7329330333 |
Fax Number: | 7329330333 |
NPI Enumeration Date: | 12/29/2005 |
NPI Last Update Date: | 08/20/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | MP00451 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |