Individual
EILEEN M CAMPETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
670 N RIVER ST, SUITE 201, PLAINS, PA 18705-1027
(570) 208-0150
(570) 208-0154
Mailing address
670 N RIVER STREET, SUITE 201, PLAINS, PA 18705-1027
(570) 208-0150
(570) 208-0154
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
MA056029
PA
363AM0700X
Medical Physician Assistant
Primary
OA003010
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031985360001
—
PA
Enumeration date
02/26/2013
Last updated
11/22/2016
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