Individual
DR. LUIS ISMAEL CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 S 17TH ST, ALLENTOWN, PA 18104-6704
(610) 821-9228
Mailing address
101 S 17TH ST, ALLENTOWN, PA 18104-6704
(610) 821-9228
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD038866L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000960429
—
PA
Enumeration date
11/26/2005
Last updated
07/08/2007
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