Individual
DR. ERNEST JOHN CAMPONOVO
Active
Individual
DR. ERNEST JOHN CAMPONOVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD042369L
PA
2085R0202X
Diagnostic Radiology Physician
Primary
MD042369L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012389070048
—
PA
05
—
003566900
—
FL
05
—
057342600
—
DC
05
—
1588661904
—
CA
05
—
1588661904
—
MI
05
—
470001500
—
MD
05
—
7100356790
—
KY
01
—
G88056
MEDICAL LICENSE
CA
Enumeration date
06/30/2005
Last updated
05/24/2023
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