Individual
DAMALI CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 NEWARK AVENUE, 2ND FLOOR, JERSEY CITY, NJ 07306
(201) 795-9155
(201) 795-9157
Mailing address
355 GRAND STREET, 4 EAST, JERSEY CITY, NJ 07302
(201) 915-2466
(201) 915-2481
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MA66680
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01000527400
AMERICHOICE
—
01
—
010066680NJ03
ANTHEM HEALTH INS CO NY
—
01
—
01006680NJ01
ANTHEM HEALTH INS CO NY
—
01
—
0824296000
AMERIHEALTH HMO
—
01
—
223363012
HEALTH CARE PAYERS COAL
—
01
—
298582
GHI
—
01
—
3033693
AETNA HMO
—
01
—
4201372
CIGNA
—
01
—
53446
AMERIGROUP
—
01
—
7157214
AETNA TRADITIONAL
—
05
—
8057109
—
NJ
01
—
915039
AMERIHEALTH PPO
—
01
—
933787
GREAT WEST HEALTHCARE
—
Enumeration date
08/05/2006
Last updated
01/26/2022
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