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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACOB DALE CAMPBELL, D.O.

Active

JACOB DALE CAMPBELL, D.O. is a Pediatric Surgery healthcare provider located in FARMINGTON, Connecticut. NPI 1811301377 is currently active in the NPPES registry. Verify at CMS.

Pediatric Surgery · FARMINGTON, CT

Registration Details

NPI Number
1811301377
Provider Type
Individual
Gender
Male
NPI Issued
Jun 12, 2014 (12.185661597626 yrs)
Last Updated
Nov 20, 2023
License
75461 (CT)

Practice Information

Address
UCONN SCHOOL OF MEDICINE DEPT OF SURGERY
263 FARMINGTON AVE
FARMINGTON, CT, 060303955
Browse CT providers · Browse ZIP 06030
Phone
8606792147
Fax
8606794624
Primary Specialty
Pediatric Surgery
2086S0120X
Additional Specialty
Pediatric Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.