Provider Demographics
NPI:1366024036
Name:CAMPBELL, MICHAEL DARREN (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:DARREN
Last Name:CAMPBELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 DELHAM AVE
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14216-3308
Mailing Address - Country:US
Mailing Address - Phone:716-438-6368
Mailing Address - Fax:
Practice Address - Street 1:WEILL CORNELL EMERGENCY ROOM 525 E 68TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-1006
Practice Address - Country:US
Practice Address - Phone:212-746-0892
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-22
Last Update Date:2021-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program