Individual
DR. CARLA CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
39TH AND CHESTNUT ST, ST. LEONARD'S COURT, SUITE 110, PHILADELPHIA, PA 19104
(215) 590-5090
(215) 590-5048
Mailing address
39TH AND CHESTNUT ST, ST. LEONARD'S COURT, SUITE 110, PHILADELPHIA, PA 19104
(215) 590-5090
(215) 590-5048
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD-045435-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1278902
—
PA
Enumeration date
07/21/2006
Last updated
07/08/2007
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