Individual
LISA MARIE CAMPENELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
25 JOHN JAMES AUDUBON WAY STE 410, MARLTON, NJ 08053-7219
(856) 701-4485
Mailing address
25 JOHN JAMES AUDUBON WAY, MARLTON, NJ 08053-7219
(856) 701-4485
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00132100
NJ
363AS0400X
Surgical Physician Assistant
MA051861
PA
Other
Enumeration date
07/26/2006
Last updated
02/27/2023
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