Individual
ERIC CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 316-5151
Mailing address
1616 WALNUT ST APT 809, PHILADELPHIA, PA 19103-5303
(410) 708-0359
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA064147
PA
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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