Individual provider · Type 1 NPI
Phillip Campanella
Adult Health Nurse Practitioner · Pomona, NJ
NPI number
1013609890
Active
Practice location
65 W Jimmie Leeds Rd
Pomona, NJ 08240-9102
Mailing address
1250 State Route 34 Apt 5-8
Matawan, NJ 07747-1909
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 67044 (ID) |
| Adult Health Nurse Practitioner | 363LA2200X | F309560-01 (NY) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 26NJ01476800 (NJ) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1013609890
Phillip Campanella's National Provider Identifier is 1013609890, issued on May 22, 2023. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Pomona, NJ. The record was last updated on May 22, 2023.