Provider Demographics
NPI:1437284775
Name:CAMPBELL, SUSAN SONG (MD)
Entity type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:SONG
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1333 MERIDIAN AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95125-5212
Mailing Address - Country:US
Mailing Address - Phone:408-445-3400
Mailing Address - Fax:408-448-1727
Practice Address - Street 1:1333 MERIDIAN AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95125-5212
Practice Address - Country:US
Practice Address - Phone:408-445-3400
Practice Address - Fax:408-448-1727
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2025-06-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA94363207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine