Alfonse Campo, MD,llc
Internal Medicine in Fairfield, CT. Organization (NPI-2).
NPI number1740448265
StatusActive
Last updated in NPPESOct 23, 2022
Details
- NPI
- 1740448265
- Entity type
- Organization (NPI-2)
- Legal business name
- Alfonse Campo, MD,llc
- Organization subpart
- No
- Enumeration date
- May 30, 2008
- Certification date
- Oct 23, 2022
- Last updated
- Oct 23, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 027570 | CT | Yes |
Practice location
121 Warde TerFairfield, CT 06825-3632
Phone 203-979-0991 · Fax 203-846-0047
Mailing address
121 Warde TerFairfield, CT 06825-3632
Phone 203-979-0991 · Fax 203-846-0047
Authorized official
Alfonse Mariano Campo
Owner
2039790991
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