Individual
MR. CAWAYNE MARIO CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1328 HICKS ST APT 4A, BRONX, NY 10469-1739
(347) 904-5842
Mailing address
1328 HICKS ST APT 4A, BRONX, NY 10469-1739
(347) 904-5842
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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