Individual
ALEXANDER CAMPOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1930 TAMARACK RD, NEWARK, OH 43055-2303
(740) 522-7600
(740) 522-9777
Mailing address
1930 TAMARACK RD, NEWARK, OH 43055-2303
(740) 522-7600
(740) 522-9777
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
34013240
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0241035
—
OH
Enumeration date
03/27/2015
Last updated
10/18/2024
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