| Thomas Campbell, Md., Pllc | |
|
4 Crowne Pointe Dr Penfield NY 14526-9579 | |
| (585) 664-0506 | |
| Not Available |
| Full Name | Thomas Campbell, Md., Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 4 Crowne Pointe Dr, Penfield, New York |
| Authorized Official Name and Position | Thomas M Campbell (OWNER) |
| Authorized Official Contact | 5854410900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Campbell, Md., Pllc 4 Crowne Pointe Dr Penfield NY 14526-9579 Ph: (585) 664-0506 | Thomas Campbell, Md., Pllc 4 Crowne Pointe Dr Penfield NY 14526-9579 Ph: (585) 664-0506 |
| NPI Number | 1316515323 |
|---|---|
| Provider Enumeration Date | 06/15/2021 |
| Last Update Date | 06/15/2021 |
| Medicare PECOS PAC ID | 0749681310 |
|---|---|
| Medicare Enrollment ID | O20210702001616 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316515323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Thomas M Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194042812 PECOS PAC ID: 0941443949 Enrollment ID: I20130823000213 |
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