Individual
DR. CAMPBELL L STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21 SOUTH ROAD, FARMINGTON, CT 06032
(860) 679-4600
(860) 679-3207
Mailing address
21 SOUTH ROAD, FARMINGTON, CT 06032
(860) 679-4600
(860) 679-3207
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MD60454651
WA
207ND0900X
Dermatopathology Physician
Primary
061363
CT
207ND0900X
Dermatopathology Physician
MD60454651
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50D0966896
CLIA
WA
01
—
MD60454651
LICENSE
WA
Enumeration date
05/07/2009
Last updated
08/23/2024
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