Individual
ELISABETH MARIE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
114 WOODLAND ST, DEPTARTMENT OF SURGERY, HARTFORD, CT 06105-1208
(860) 714-5237
Mailing address
114 WOODLAND ST, DEPARTMENT OF SURGERY, HARTFORD, CT 06105-1208
(860) 714-5237
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9105547
FL
363AS0400X
Surgical Physician Assistant
Primary
3094
CT
Other
Enumeration date
11/05/2010
Last updated
07/22/2014
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