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Individual
GERRY CAMPOS
Active
Individual
GERRY CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
54653
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014796
NEIGHBORHOOD HEALTH PLAN
MA
01
—
042297845
TRICARE
—
01
—
054653
TUFTS HEALTH PLAN
MA
01
—
054653
TUFTS MEDICARE PREFERRED
—
01
—
1016764
FALLON
—
05
—
6194079
—
MA
01
—
7171302
AETNA
—
01
—
8166525-003
CIGNA
MA
01
—
G287
HARVARD PILGRIM
MA
01
—
J04519
BLUE CROSS
MA
Enumeration date
04/25/2006
Last updated
06/23/2011
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