| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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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