Provider Demographics
NPI:1982670857
Name:CAMPBELL, ROBERT J (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:J
Last Name:CAMPBELL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:300 MOUNT AUBURN ST
Mailing Address - Street 2:SUITE 310
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-5600
Mailing Address - Country:US
Mailing Address - Phone:617-497-1560
Mailing Address - Fax:617-497-1109
Practice Address - Street 1:300 MOUNT AUBURN ST
Practice Address - Street 2:SUITE 310
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-5600
Practice Address - Country:US
Practice Address - Phone:617-497-1560
Practice Address - Fax:617-497-1109
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2011-04-13
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Provider Licenses
StateLicense IDTaxonomies
MA54211207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3270OtherHARVARD PILGRIM HEALTH PLAN
MA60677OtherFALLON
MD99184402OtherNETWORK HEALTH PLAN
MA1982670857OtherBOSTON MEDICAL CENTER HEALTH NET PLAN
MA4035976OtherAETNA HEALTHCARE
MA703440OtherTUFTS
MA3029034Medicaid
MA0015127OtherCIGNA HEALTHPLAN
MA0015761OtherNEIGHBORHOOD HEALTH PLAN
MAJ06935OtherBCBS
MA703440OtherTUFTS