Individual
PHILLIP CAMPANELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
65 W JIMMIE LEEDS RD, POMONA, NJ 08240-9102
(609) 652-1000
Mailing address
1250 STATE ROUTE 34 APT 5-8, MATAWAN, NJ 07747-1909
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ01476800
NJ
363LA2200X
Adult Health Nurse Practitioner
67044
ID
363LA2200X
Adult Health Nurse Practitioner
F309560-01
NY
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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