Individual
DEBRA A. CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
320 POMFRET ST, PUTNAM, CT 06260-1836
(860) 928-6541
(860) 963-6368
Mailing address
PO BOX 409010, ATLANTA, GA 30384-9010
(800) 377-8721
(304) 523-2241
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
042674
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00261729
RAILROAD
—
Enumeration date
02/14/2006
Last updated
10/31/2007
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