Campo, Stephen Lewis
Campo, Stephen Lewis is an individual health care provider with primary practice located at 1493 Cambridge St Anesthesiology, Cambridge MA 02139-1047. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Campo, Stephen Lewis can be contacted via phone (617) 665-1630.Contact Information
Primary practice address
1493 Cambridge St Anesthesiology
Cambridge MA 02139-1047
Phone: (617) 665-1630
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 76090 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 76090 | Massachusetts |
Profile Details
| NPI number | 1134110414 |
|---|---|
| LBN Legal business name | Campo, Stephen Lewis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 4th, 2005 |
| Last updated | Dec 10th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134110414 | NPPES |
| Massachusetts | MEDICAID | 3151867 | |
| Massachusetts | Other | J16589 | |
| Massachusetts | Other | 076090 |
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