Individual
MR. BRETT J. CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
658 MALTA AVE, SUITE 101, MALTA, NY 12020
(518) 580-0553
(518) 580-0557
Mailing address
658 MALTA AVE, SUITE 101, MALTA, NY 12020
(518) 580-0553
(518) 580-0557
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
022102102
NC
207W00000X
Ophthalmology Physician
Primary
326844
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03425445
—
NY
Enumeration date
05/25/2017
Last updated
03/15/2024
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