Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 25MB06825500 | NJ |
NPI | 1154412542 |
---|---|
Provider Name | Neil M Campbell |
First Address | Boston, MA 02241-6457 |
Second Address | Hackettstown, NJ 07840-4174 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2006 |
Last Update Date | 17/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H67396 | (02) |