Individual
MARYUM CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
144 PROSPECT HILL RD, EAST WINDSOR, CT 06088-9618
(860) 254-5694
(860) 254-5694
Mailing address
144 PROSPECT HILL RD, EAST WINDSOR, CT 06088-9618
(860) 254-5694
(860) 254-5694
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
HCA0000676
CT
Other
Enumeration date
02/28/2014
Last updated
02/28/2014
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