Individual
DR. NEDSON JOHN CAMPBELL II
Active
Individual
DR. NEDSON JOHN CAMPBELL II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
050231
CT
2084P0802X
Addiction Psychiatry Physician
050231
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004025177
—
CT
05
—
004041000
—
CT
05
—
004082260
—
CT
05
—
004082286
—
CT
05
—
004217099
—
CT
05
—
008001325
—
CT
05
—
008003745
—
CT
05
—
008022622
—
CT
05
—
008022626
—
CT
05
—
008023170
—
CT
05
—
008024427
—
CT
05
—
008039745
—
CT
05
—
008042339
—
CT
05
—
008045321
—
CT
05
—
500000315
—
CT
01
—
C01033
APT PTAN MEDICARE
CT
01
—
D400092056
PTAN GROUP MEMBER NUMBER
CT
Enumeration date
05/05/2009
Last updated
02/09/2015
Update your record
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