Individual
TRACY CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 POST RD, FAIRFIELD, CT 06824-5730
(204) 418-9520
(203) 418-9530
Mailing address
1089 HAWTHORNE PKWY, SPRING LAKE, NJ 07762-2370
(732) 614-2312
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
10/09/2018
Last updated
07/20/2023
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