Basic Information
Provider Information
NPI: 1134485592
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CAMPION
FirstName: MEGAN
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: LARGO MEDICAL CENTER
Address2: 1221 MERCANTILE LN
City: UPPER MARLBORO
State: MD
PostalCode: 20774
CountryCode: US
TelephoneNumber: 3016185500
FaxNumber:  
Practice Location
Address1: LARGO MEDICAL CENTER
Address2: 1221 MERCANTILE LN
City: UPPER MARLBORO
State: MD
PostalCode: 20774
CountryCode: US
TelephoneNumber: 3016185500
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/10/2012
LastUpdateDate: 07/09/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/15/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207LP3000X35.128528OHN Allopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology
207LP3000XD0090813MDY Allopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology

No ID Information.


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