Individual
JOHN TIMOTHY CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-5397
(410) 550-0153
Mailing address
PO BOX 64664, BALTIMORE, MD 21264-4664
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
D50478
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431300300
—
MD
Enumeration date
05/03/2006
Last updated
07/08/2007
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