Provider Demographics
NPI:1346249208
Name:CAMPBELL, JOSEPH P III (DPM)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:P
Last Name:CAMPBELL
Suffix:III
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1021 PARK AVE
Mailing Address - Street 2:SUITE 100A
Mailing Address - City:QUAKERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18951-1573
Mailing Address - Country:US
Mailing Address - Phone:215-538-1660
Mailing Address - Fax:215-536-7900
Practice Address - Street 1:1021 PARK AVE
Practice Address - Street 2:SUITE 100A
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-1573
Practice Address - Country:US
Practice Address - Phone:215-538-1660
Practice Address - Fax:215-536-7900
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-21
Last Update Date:2012-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC003339L213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0013967820003Medicaid
PA0013967820003Medicaid
PA727102Medicare ID - Type Unspecified