Individual
DR. ANDREW BRUCE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1610 NE 1ST ST APT 10, FORT LAUDERDALE, FL 33301-3800
(954) 760-4306
(954) 760-4306
Mailing address
27005 KNICKERBOCKER RD, BAY VILLAGE, OH 44140-2383
(888) 365-5514
(800) 616-0084
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
ME97339
FL
2085R0202X
Diagnostic Radiology Physician
153691-01
NY
2085R0202X
Diagnostic Radiology Physician
25MA08178100
NJ
2085R0202X
Diagnostic Radiology Physician
MD044591L
PA
2085R0202X
Diagnostic Radiology Physician
Primary
ME97339
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018425910010
—
PA
05
—
002112500
—
FL
05
—
00476269
—
MS
05
—
1225052285
—
MI
05
—
1225052285
—
SD
05
—
200251600A
—
OK
05
—
205764802
—
TX
05
—
2198547
—
LA
05
—
307496
—
OH
05
—
4047842
—
TN
05
—
7100084150
—
KY
05
—
8516804
—
NJ
05
—
99073889
—
NM
Enumeration date
07/26/2006
Last updated
10/15/2020
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