Individual
DR. MICHAEL A CAMPENNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
250 KENNEDY BLVD UNIT 2, PITTSTON, PA 18640-1811
(570) 491-8141
(570) 891-4284
Mailing address
250 KENNEDY BLVD UNIT 2, PITTSTON, PA 18640-1811
(570) 491-8141
(570) 891-4284
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
AZ4639
AZ
208800000X
Urology Physician
Primary
OS008694L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017424060001
—
PA
05
—
328233
—
AZ
01
—
48716
GEISINGER HEALTH PLAN
PA
Enumeration date
08/15/2005
Last updated
04/29/2022
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