Individual
MARY BETH CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2800 MAIN ST, HOSPITALIST DEPT, BRIDGEPORT, CT 06606-4201
(203) 576-6000
Mailing address
2800 MAIN ST, ST. VINCENT MULTISPECIALTY GROUP, BRIDGEPORT, CT 06606-4201
(203) 576-6000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
004930
CT
363LA2200X
Adult Health Nurse Practitioner
235123
MA
Other
Enumeration date
12/21/2007
Last updated
09/30/2014
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