Individual
DR. CLOVENE P CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
72 HIGHLAND AVE, PEDIATRIC ASSOCIATES OF GREATER SALEM, SALEM, MA 01970-2738
(978) 745-3050
(978) 745-7014
Mailing address
72 HIGHLAND AVE, PEDIATRIC ASSOCIATES OF GREATER SALEM, SALEM, MA 01970-2738
(978) 745-3050
(978) 745-7014
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
210231
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0198382
—
MA
01
—
210231
TU
—
01
—
J25311
BS
—
Enumeration date
02/03/2006
Last updated
12/28/2012
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