Dr. James Joseph Campbell
Pediatrician Adolescent Medicine
63 S 1st St
Fulton
, New York 13069-1704
Dr. James Joseph Campbell
Pediatrician Adolescent Medicine
63 S 1st St
Fulton
, New York 13069-1704
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About
Features
Specialties
- Pediatrician
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Dr. James Joseph Campbell
- 63 S 1st St
- Fulton, NY
- Zip : 13069-1704
- Phone :
Second Address
- Dr. James Joseph Campbell
- 63 S 1st St
- Fulton, NY
- Zip : 13069-1704
- Fax : (315) 598-6155
- Phone : (315) 598-6700
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Is Dr. James Joseph Campbell a sole practitioner?
Is Dr. James Joseph Campbell accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 121207 | NY |
| N | 2080A0000X | Adolescent Medicine | 121207 | NY |
National Provider Identifier
| NPI | 1235202557 |
|---|---|
| Provider Name | Dr. James Joseph Campbell |
| First Address | Fulton, NY 13069-1704 |
| Second Address | Fulton, NY 13069-1704 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/11/2006 |
| Last Update Date | 19/03/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00538601 | (05) | NY |
| 161174728 | TAX ID (01) | NY |
| D74963 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.