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Contact Information

DAVID CAMPBELL
110 FRANCIS ST
SUITE 5C
BOSTON, MA02215-5501
 Phone: 617-632-9848
 Fax: 617-632-7794
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for DAVID CAMPBELL

NPI # 1063477446
LBN Legal business name DAVID CAMPBELL
Authorized official DAVID CAMPBELL - (MD/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/19/2006
Last updated 10/14/2014 - About 12 years ago
Identifiers
MA License # 39971
MA Medicaid 0194964
MA Other 0092648 AE/US
MA Other A27717BI HPHC
MA Other 030545 TUFTS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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