Individual
CHARLES R CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
161 RIVERSIDE DR, STE 205, BINGHAMTON, NY 13905
(607) 798-7100
(607) 798-0675
Mailing address
161 RIVERSIDE DR, STE 205, BINGHAMTON, NY 13905
(607) 798-7100
(607) 798-0675
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
194616
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01910356
—
NY
Enumeration date
05/17/2006
Last updated
03/19/2021
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