# DAVID CAMPBELL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063477446
- **Authorized official:** DAVID R CAMPBELL M.D. (MD/OWNER)
- **Authorized official phone:** (617) 632-9848

## Contact information

- **Practice address:** 110 FRANCIS ST, SUITE 5C, BOSTON, MA 02215-5501
- **Practice address phone:** (617) 632-9848
- **Practice address fax:** (617) 632-7794
- **Mailing address:** PO BOX 86, HINGHAM, MA 02043-0086
- **Mailing address phone:** (781) 749-9071
- **Mailing address fax:** (781) 749-2133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 39971 | MA | Yes |

## Other

- **Enumeration date:** 04/19/2006
- **Last updated:** 10/14/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0092648 | AE/US | MA |
| 05 | — | 0194964 | — | MA |
| 01 | — | 030545 | TUFTS | MA |
| 01 | — | A27717BI | HPHC | MA |