Organization
CAMPBELL MEDICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANNA D. PERERA M.D. (OWNER)
(203) 937-1100
Entity
Organization
Contact information
Practice address
755 CAMPBELL AVE, SUITE 3, WEST HAVEN, CT 06516-3715
(203) 937-1100
(203) 937-1102
Mailing address
755 CAMPBELL AVE, SUITE 3, WEST HAVEN, CT 06516-3715
(203) 937-1100
(203) 937-1102
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036182
CT
363LF0000X
Family Nurse Practitioner
005583
CT
363LP2300X
Primary Care Nurse Practitioner
002961
CT
Other
Enumeration date
11/25/2008
Last updated
11/18/2014
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