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Individual

CRAIG JOHN CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM PC

Contact information

Practice address
827 FOREST AVE, STATEN ISLAND, NY 10310-2410
(718) 981-5098
(718) 981-6792
Mailing address
827 FOREST AVE, STATEN ISLAND, NY 10310-2410
(718) 981-5098
(718) 981-6792

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N004711-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01232493
NY
Enumeration date
12/29/2005
Last updated
02/07/2014
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