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NPI Code Detail

MEDICARE: CYNTHIA X CAMPOS PA-C

MEDICARE: CYNTHIA X CAMPOS PA-C
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
1363A00000XPhysician AssistantMA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861010613
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA X CAMPOS PA-C
Provider Business Mailing Address
First Line : 192 W WATER ST
Second Line :
City : ROCKLAND
State : MA
Zip : 02370-2449
Country : US
Telephone Number : 781-724-8601
Fax Number :
Provider Business Practice Location Address
First Line : 234 COPELAND ST
Second Line :
City : QUINCY
State : MA
Zip : 02169-4081
Country : US
Telephone Number : 617-479-4545
Fax Number : 617-472-6947
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2020
Last Update Date : 06/16/2022

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Directions to “ CYNTHIA X CAMPOS PA-C” Practice Location

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