Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 25MA05153500 | NJ |
N | 207RC0000X | Internist - Cardiovascular Disease | ME63052 | FL |
N | 207RI0011X | Interventional Cardiology | 218557 | NY |
NPI | 1013969377 |
---|---|
Provider Name | Giovanni Campanile |
First Address | Boston, MA 02241-6457 |
Second Address | Caldwell, NJ 07006-5012 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2006 |
Last Update Date | 03/02/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E95498 | (02) | NY |