Individual
STEPHEN CAMPOBASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
205 SCHOOL ST, GARDNER, MA 01440-2781
(978) 632-9400
Mailing address
8 ATWOOD DR, NORTHAMPTON, MA 01060-4266
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2313553
MA
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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