Alain G Champaloux, Md | |
14314 Old Marlboro Pike Upper Marlboro MD 20772-2840 | |
(301) 627-3500 | |
(301) 627-1634 |
Full Name | Alain G Champaloux, Md |
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Speciality | Family Medicine |
Location | 14314 Old Marlboro Pike, Upper Marlboro, Maryland |
Authorized Official Name and Position | Alain G Champaloux (OWNER) |
Authorized Official Contact | 3016273500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Alain G Champaloux, Md 14314 Old Marlboro Pike Upper Marlboro MD 20772-2840 Ph: (301) 627-3500 | Alain G Champaloux, Md 14314 Old Marlboro Pike Upper Marlboro MD 20772-2840 Ph: (301) 627-3500 |
NPI Number | 1669652590 |
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Provider Enumeration Date | 11/08/2007 |
Last Update Date | 11/08/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669652590 | NPI | - | NPPES |
101061100 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | D0042049 (Maryland) | Primary |
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