# IDA CAMPAGNA M.D.

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

## Provider details

- **NPI number:** 1881644185
- **Authorized official:** IDA CAMPAGNA M.D. (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (716) 839-1002

## Contact information

- **Practice address:** 100 COLLEGE PKWY, SUITE 120, WILLIAMSVILLE, NY 14221-6800
- **Practice address phone:** (716) 839-1002
- **Mailing address:** 100 COLLEGE PKWY, SUITE 120, WILLIAMSVILLE, NY 14221-6800
- **Mailing address phone:** (716) 839-1002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/10/2006
- **Last updated:** 08/22/2020
