Organization
JOSEPH F CAMPANA MD ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH F CAMPANA MD (DOCTOR/PRES)
(570) 323-7187
Entity
Organization
Contact information
Practice address
151 E 3RD ST, WILLIAMSPORT, PA 17701-6622
(570) 323-7187
Mailing address
151 E 3RD ST, WILLIAMSPORT, PA 17701-6622
(570) 323-7187
(570) 323-2189
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
207W00000X
PA
302F00000X
Exclusive Provider Organization
Primary
207Y00000X
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005931050001
—
PA
01
—
021145119
PRIVATE INSURANCE
PA
01
—
072713
PRIVATE INSURANCE
PA
01
—
J01623981
PRIVATE INSURANCE
PA
Enumeration date
11/05/2009
Last updated
11/17/2009
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