Individual
DIANE SHARON CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
253 PLEASANT LAKE AVE, STE 100, HARWICH, MA 02645-2552
(508) 432-5233
(508) 430-0511
Mailing address
253 PLEASANT LAKE AVE, STE 100, HARWICH, MA 02645-2552
(508) 432-5233
(508) 430-0511
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
250031
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080073871
RAILROAD MEDICARE PIN
ME
05
—
110092283A
—
MA
Enumeration date
02/21/2006
Last updated
10/26/2023
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