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NPI Code Detail

MEDICARE: ALAIN G CHAMPALOUX, MD

MEDICARE: ALAIN G CHAMPALOUX, MD
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
1207Q00000XFamily Medicine PhysicianD0042049MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669652590
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALAIN G CHAMPALOUX, MD
Provider Business Mailing Address
First Line : 14314 OLD MARLBORO PIKE
Second Line :
City : UPPER MARLBORO
State : MD
Zip : 20772-2840
Country : US
Telephone Number : 301-627-3500
Fax Number : 301-627-1634
Provider Business Practice Location Address
First Line : 14314 OLD MARLBORO PIKE
Second Line :
City : UPPER MARLBORO
State : MD
Zip : 20772-2840
Country : US
Telephone Number : 301-627-3500
Fax Number : 301-627-1634
Authorized Official
Title or Position : OWNER
Name : DR. ALAIN G CHAMPALOUX
Credential : M.D.
Telephone Number : 301-627-3500
Provider Enumeration Date : 11/08/2007
Last Update Date : 11/08/2007

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Directions to “ALAIN G CHAMPALOUX, MD ” Practice Location

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