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Individual

MR. JASON A CAMPOPIANO

Active
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Individual

MR. JASON A CAMPOPIANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0253571
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110079638002
CDPHP
—
01
—
404581003
BLUE SHIELD
—
01
—
451448236
BLUE CROSS
—
01
—
7571526
AETNA
—
01
—
9056998
MVP
—
01
—
Q255T1
BLUE CROSS EPIN
—
Enumeration date
09/29/2006
Last updated
05/06/2024
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