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Adam T Campbell, PA

Physician Assistant in Johnson City, NY. Individual provider (NPI-1).

NPI number1982883005
StatusActive
Last updated in NPPESDec 28, 2011

Details

NPI
1982883005
Entity type
Individual (NPI-1)
Name
Adam T Campbell
Credential
PA
Sex
Male
Sole proprietor
No
Enumeration date
Oct 25, 2007
Last updated
Dec 28, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant012185NYYes

Practice location

33-57 Harrison St
Johnson City, NY 13790-2107

Phone 607-763-6412 · Fax 607-763-5854

Mailing address

346 Grand Ave
Johnson City, NY 13790-2580

Phone 607-729-8156 · Fax 607-729-3982

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