National Provider Identifier
Timothy Douglas Campbell, MD
Timothy Douglas Campbell, MD is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 273-1904.
Profile Overview
- NPI
- 1043839467
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- April 15, 2020
- Last Updated
- April 15, 2020
Practice Location
- 601 Elmwood Ave # 656
- Rochester, NY 14642-0001
Phone: (585) 273-1904
Mailing Address
- 48 E Henrietta RD
- Rochester, NY 14620-4236
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1043839467
- Entity Type
- Individual
- Last Name
- Campbell
- First Name
- Timothy
- Middle Name
- Douglas
- Credential
- MD
- Mailing Street Address
- 48 E Henrietta RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-4236
- Mailing Country
- US
- Mailing Phone
- (847) 890-5241
- Practice Street Address
- 601 Elmwood Ave # 656
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 273-1904
- Practice Fax
- (585) 273-1068
- Enumeration Date
- April 15, 2020
- Last Updated
- April 15, 2020
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- April 15, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)