Provider Demographics
NPI:1093075095
Name:CAMPOL, MEAGAN SARAH (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:MEAGAN
Middle Name:SARAH
Last Name:CAMPOL
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:MEAGAN
Other - Middle Name:SARAH CAMPOL
Other - Last Name:HAYNES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:40 TEMPLE ST
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06510-2715
Mailing Address - Country:US
Mailing Address - Phone:203-789-2011
Mailing Address - Fax:203-865-1708
Practice Address - Street 1:40 TEMPLE ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510-2715
Practice Address - Country:US
Practice Address - Phone:203-789-2011
Practice Address - Fax:203-865-1708
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-23
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT55126207V00000X
NYNOT ISSUED YET207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology