Individual
JONATHAN CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15-01 POLLITT DR, FAIR LAWN, NJ 07410-2769
(201) 773-6537
Mailing address
307 TRENT DR, DURHAM, NC 27710-3038
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR25978200
NJ
Other
Enumeration date
09/05/2025
Last updated
09/11/2025
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