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Jacob Dale Campbell, DO
Pediatric Surgery Physician in Farmington, Connecticut
NPI 1811301377

Jacob Dale Campbell is a Pediatric Surgery Physician based in Farmington, CT and is specialized in Pediatric Surgery. Jacob Dale Campbell practices in Farmington, CT and has the professional credentials of DO. The NPI Number for Jacob Dale Campbell is 1811301377 and holds a License No. (Connecticut).

The current practice location address for Jacob Dale Campbell is Uconn School Of Medicine Dept Of Surgery, Farmington, CT and can be reached out via phone at 860-679-2147 and via fax at 860-679-4624.

Location: Uconn School Of Medicine Dept Of Surgery, Farmington, CT, 06030-3955
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811301377
Provider Name
Jacob Dale Campbell
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
Uconn School Of Medicine Dept Of Surgery, Farmington, CT, 06030-3955
Phone Number
860-679-2147
Fax Number
860-679-4624
Provider Enumeration Date
06/12/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
Uconn School Of Medicine Dept Of Surgery
City
Farmington
State
Connecticut
Zip
06030-3955
Phone Number
860-679-2147
Fax Number
860-679-4624
person
Provider Business Mailing Address Details
Address
Uconn School Of Medicine Dept Of Surgery
City
Farmington
State
Connecticut
Zip
06030-3955
Phone Number
860-679-2147
Fax Number
860-679-4624
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Pediatric Surgery
Taxonomy
2086S0120X
License No.
75461 (Connecticut)
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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