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Contact Information

MICHAEL A CAMPENNI, DO
250 KENNEDY BLVD
SUITE 2
PITTSTON , PA18640
 Phone: 570-491-8141
 Fax: 570-891-4284
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for MICHAEL A CAMPENNI · (Male)

NPI # 1053313478
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/15/2005
Last updated 04/29/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # AZ4639
  • PA License # OS008694L
  • AZ Medicaid 328233
  • PA Medicaid 0017424060001
  • PA Other 48716 GEISINGER HEALTH PLAN
Hospital affiliation(s)
  • GEISINGER - COMMUNITY MEDICAL CENTER - (Acute Care)
    1822 MULBERRY STREET
    SCRANTON, PA 18510
  • MOSES TAYLOR HOSPITAL - (Acute Care)
    700 QUINCY AVENUE
    SCRANTON, PA 18510
  • REGIONAL HOSPITAL OF SCRANTON - (Acute Care)
    746 JEFFERSON AVENUE
    SCRANTON, PA 18501
  • WAYNE MEMORIAL HOSPITAL - (Acute Care)
    601 PARK STREET
    HONESDALE, PA 18431
  • WILKES-BARRE GENERAL HOSPITAL - (Acute Care)
    575 NORTH RIVER STREET
    WILKES-BARRE, PA 18764
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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