MEDICARE: EMILY SALPINI 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
1	208000000X	Pediatrics Physician	0101269783	VA

General Provider Information

NPI Number	:	1255862645
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY SALPINI CAMPBELL M.D.

Provider Business Mailing Address
First Line	:	6303 LITTLE RIVER TPKE STE 300
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22312-5045
Country	:	US
Telephone Number	:	703-914-8989
Fax Number	:

Provider Business Practice Location Address
First Line	:	6303 LITTLE RIVER TPKE STE 300
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22312-5045
Country	:	US
Telephone Number	:	703-914-8989
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2017
Last Update Date	:	07/15/2021

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