# GERRY CAMPOS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1376509703
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 54653 | MA | Yes |

## Other

- **Enumeration date:** 04/25/2006
- **Last updated:** 06/23/2011

## 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 |