Provider Demographics
NPI:1912026949
Name:DECAMPO, ROSINA ESTELA (MD)
Entity Type:Individual
Prefix:DR
First Name:ROSINA
Middle Name:ESTELA
Last Name:DECAMPO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:474 MICA CT
Mailing Address - Street 2:
Mailing Address - City:SHELTON
Mailing Address - State:CT
Mailing Address - Zip Code:06484-2841
Mailing Address - Country:US
Mailing Address - Phone:203-257-9763
Mailing Address - Fax:
Practice Address - Street 1:200 WATSON BLVD
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:CT
Practice Address - Zip Code:06615-7127
Practice Address - Country:US
Practice Address - Phone:800-328-2666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101239283207ZC0500X, 207ZP0102X
CO25150207ZC0500X, 207ZP0102X
TXL3949207ZC0500X, 207ZP0102X
CT040210207ZC0500X, 207ZP0102X
NC207ZC0500X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology
Not Answered207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology