Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | 25MA1090800 | NJ |
N | 2080P0202X | Pediatric Cardiologist | C10023890 | DE |
N | 2080P0202X | Pediatric Cardiologist | D0090270 | MD |
N | 2080P0202X | Pediatric Cardiologist | MD457398 | PA |
NPI | 1104269869 |
---|---|
Provider Name | Matthew J Campbell |
First Address | Rockland, DE 19732-0191 |
Second Address | Wilmington, DE 19803-3607 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2013 |
Last Update Date | 01/03/2021 |