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NPI Code Detail

MEDICARE: CHAMPEY PAIN GROUP

MEDICARE: CHAMPEY PAIN GROUP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist25MA07722700NJ

General Provider Information

NPI Number : 1992967103
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHAMPEY PAIN GROUP
Provider Business Mailing Address
First Line : 1 MOUNT PROSPECT AVE FL 2
Second Line :
City : VERONA
State : NJ
Zip : 07044-2707
Country : US
Telephone Number : 201-247-1747
Fax Number :
Provider Business Practice Location Address
First Line : 1 MOUNT PROSPECT AVE FL 2
Second Line :
City : VERONA
State : NJ
Zip : 07044-2707
Country : US
Telephone Number : 201-247-1747
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. EDWARD J CHAMPEY
Credential : MD
Telephone Number : 201-247-1747
Provider Enumeration Date : 06/29/2008
Last Update Date : 07/05/2013

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Directions to “CHAMPEY PAIN GROUP ” Practice Location

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