Campbell, Brendan Thomas

Campbell, Brendan Thomas is an individual health care provider with primary practice located at 282 Washington St , Hartford CT 06106-3322. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is his primary health care specialty. Campbell, Brendan Thomas can be contacted via phone (860) 545-9520.

Contact Information

Primary practice address
282 Washington St Hartford CT 06106-3322
Phone: (860) 545-9520
Fax: (860) 545-9545
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 044156 Connecticut
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 044156 Connecticut

Profile Details

NPI number 1508809674
LBN Legal business name Campbell, Brendan Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Apr 13th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508809674 NPPES
Connecticut MEDICAID 001441568

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