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Contact Information

NEDSON J CAMPBELL II, MD
71 HAYNES ST
MANCHESTER, CT06040-4131
 Phone: 860-533-3434
 Fax: 860-647-6829
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for NEDSON J CAMPBELL II · (Male)

NPI # 1366676470
Status Active
Credentials MD
Entity Individual
Enumeration date 05/05/2009
Last updated 02/09/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 050231
  • CT Medicaid 004025177
  • CT Medicaid 004041000
  • CT Medicaid 004082260
  • CT Medicaid 004082286
  • CT Medicaid 004217099
  • CT Medicaid 008001325
  • CT Medicaid 008003745
  • CT Medicaid 008022622
  • CT Medicaid 008022626
  • CT Medicaid 008023170
  • CT Medicaid 008024427
  • CT Medicaid 008039745
  • CT Medicaid 008042339
  • CT Medicaid 008045321
  • CT Medicaid 500000315
  • CT Other C01033 APT PTAN MEDICARE
  • CT Other D400092056 PTAN GROUP MEMBER NUMBER
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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