Individual
SUSANA MARIA CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD MPH
Contact information
Practice address
44 BINNEY ST, DANA-FARBER CANCER INSTITUTE, BOSTON, MA 02115
(617) 632-5269
(617) 632-1930
Mailing address
44 BINNEY ST, DANA-FARBER CANCER INSTITUTE, BOSTON, MA 02115
(617) 632-5269
(617) 632-1930
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
81482
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
081482
TUFTS
—
01
—
2172306
AETNA US HEALTHCARE
—
01
—
3000507
UNITED HEALTH CARE
—
01
—
3184323
MASSHEALTH
—
01
—
6315500
CIGNA
—
01
—
65521
FALLON COMMUNITY HEALTH P
—
01
—
68577DF
HPHC DFCI ONLY
—
01
—
J19364
BCBS INDEMITY BC ELECT HM
MA
Enumeration date
03/18/2006
Last updated
07/08/2007
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