Individual
MARY ANN CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4101 ROUTE 42, BLACKWOOD, NJ 08012-1782
(856) 516-4566
Mailing address
404 CREEK CROSSING BLVD, HAINESPORT, NJ 08036-2768
(609) 845-3988
(609) 288-6078
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00068200
NJ
Other
Enumeration date
05/18/2007
Last updated
12/07/2018
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