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NPI Code Detail

MEDICARE: DR. ERNEST W. CAMPBELL M.D.

MEDICARE: DR. ERNEST W. CAMPBELL M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMD007467EPA

General Provider Information

NPI Number : 1386619120
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERNEST W. CAMPBELL M.D.
Provider Business Mailing Address
First Line : 100 N ACADEMY AVE
Second Line :
City : DANVILLE
State : PA
Zip : 17822-3034
Country : US
Telephone Number : 570-271-6144
Fax Number : 570-271-6578
Provider Business Practice Location Address
First Line : 2407 REICHART RD
Second Line :
City : BLOOMSBURG
State : PA
Zip : 17815-8969
Country : US
Telephone Number : 570-784-8303
Fax Number : 570-387-5030
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2006
Last Update Date : 07/08/2007

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