NPI 1467645929 · live from the CMS NPI Registry
A Phillip Campbell L L C
Physician Assistant, Surgical in Red Bank, NJ. National Provider Identifier 1467645929, active.
NPI record
| NPI | 1467645929 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Surgical 363AS0400X |
| Practice location | 1 Riverview Plz, Red Bank, NJ 07701 |
| Practice phone | 732-741-2700 |
| Mailing address | Po Box 953908, Lake Mary, FL 32795 |
| Enumerated | August 19, 2007 |
| Last updated | August 19, 2007 |
| Authorized official | A Campbell, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Surgical primary | 363AS0400X | 25MP00045100 (NJ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.