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Individual

BRENDAN THOMAS CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
044156
CT
2086S0120X
Pediatric Surgery Physician
Primary
044156
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001441568
CT
Enumeration date
06/14/2006
Last updated
04/13/2022
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