Individual
DR. JAMES JOSEPH CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
63 S 1ST ST, FULTON, NY 13069-1704
(315) 598-6700
(315) 598-6155
Mailing address
63 S 1ST ST, FULTON, NY 13069-1704
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
121207
NY
2080A0000X
Pediatric Adolescent Medicine Physician
121207
NY
2080S0010X
Pediatric Sports Medicine Physician
121207
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00538601
—
NY
01
—
161174728
TAX ID
NY
Enumeration date
11/16/2006
Last updated
03/19/2012
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