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Contact Information

LISA CAMPANELLA, DMD
55 FRUIT STREET CPZ 401
MASSACHUSETTS GENERAL HOSPITAL
BOSTON, MA02114
 Phone: 671-726-1076
 Fax: 617-724-6681
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for LISA CAMPANELLA · (Female)

NPI Number 1720062284
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 11/30/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • MA License # 19450
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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