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Individual

DR. JOSEPH ANTHONY CAMPANELLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
675 WYOMING AVE, KINGSTON, PA 18704-3831
(570) 288-4205
Mailing address
675 WYOMING AVE, KINGSTON, PA 18704-3831
(570) 288-4205

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD 027628-L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1041750
PA
Enumeration date
02/01/2007
Last updated
10/22/2010
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