Individual
CYNTHIA X CAMPOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
234 COPELAND ST, QUINCY, MA 02169-4081
(617) 479-4545
(617) 472-6947
Mailing address
192 W WATER ST, ROCKLAND, MA 02370-2449
(781) 724-8601
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861010613
—
MA
Enumeration date
07/08/2020
Last updated
06/16/2022
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