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NPI Code Detail

MEDICARE: DR. GEOFFREY NEIL CHAMPAGNE D.O.

MEDICARE: DR. GEOFFREY NEIL CHAMPAGNE D.O.
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
1207R00000XInternal Medicine Physician254322MA
2208M00000XHospitalist Physician254322MA

General Provider Information

NPI Number : 1023343498
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEOFFREY NEIL CHAMPAGNE D.O.
Provider Business Mailing Address
First Line : 27 PARK ST
Second Line :
City : HYANNIS
State : MA
Zip : 02601-5203
Country : US
Telephone Number : 508-862-5976
Fax Number : 508-862-7931
Provider Business Practice Location Address
First Line : 27 PARK ST
Second Line :
City : HYANNIS
State : MA
Zip : 02601-5203
Country : US
Telephone Number : 508-862-5976
Fax Number : 508-862-7931
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2009
Last Update Date : 01/04/2025

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