Individual
GARY G. CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
17 NORTH AVE, ROCKLAND, MA 02370-2123
(781) 878-1846
Mailing address
860 MAIN ST, HANOVER, MA 02339-1572
(781) 871-1456
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2647
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0337781
—
MA
01
—
W15417
BLUE CROSS BLUE SHIELD
MA
Enumeration date
02/01/2006
Last updated
07/08/2007
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