MEDICARE: FRANK S. CAMPO, D.P.M.

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	332B00000X	Durable Medical Equipment & Medical Supplies	1907	MA

General Provider Information

NPI Number	:	1811178593
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRANK S. CAMPO, D.P.M.

Provider Business Mailing Address
First Line	:	260 NORTH ST
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02113-2106
Country	:	US
Telephone Number	:	617-248-8682
Fax Number	:

Provider Business Practice Location Address
First Line	:	260 NORTH ST
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02113-2106
Country	:	US
Telephone Number	:	617-248-8682
Fax Number	:

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. FRANK S CAMPO
Credential	:	D.P.M.
Telephone Number	:	617-248-8682

Provider Enumeration Date	:	11/21/2007
Last Update Date	:	11/21/2007

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