Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | DEN03085 | RI |
Y | 213EG0000X | General Practice | DEN03085 | RI |
NPI | 1003128034 |
---|---|
Provider Name | Dr. Aaron Clayton Campini |
First Address | Tiverton, RI 02878-4426 |
Second Address | Tiverton, RI 02878-4426 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2010 |
Last Update Date | 07/07/2010 |