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Individual

MICAL S CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
COASTAL DIGESTIVE DISEASES, 234A BANK ST, NEW LONDON, CT 06320
(860) 442-0290
(860) 442-2136
Mailing address
COASTAL DIGESTIVE DISEASES, 234A BANK ST, NEW LONDON, CT 06320
(860) 442-0290
(860) 442-2136

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
044903
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10128700
PA
Enumeration date
07/28/2006
Last updated
12/17/2012
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