Individual
DR. ELISE CAMPAGNOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
41 MALL RD, BURLINGTON, MA 01805-7735
(781) 744-8000
Mailing address
41 MALL RD, BURLINGTON, MA 01805-0001
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
213441
MA
2084P0800X
Psychiatry Physician
D42048
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D42048
MEDICAL LICENSE
MD
Enumeration date
12/01/2006
Last updated
07/27/2023
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