MR. Justin Champagne, PA-C
NPI #1073697108 in Waterbury, Connecticut
Provider Information
- NPI Number
- 1073697108
- Entity Type
- Individual
- Name
- MR. Justin Champagne, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Oct 25, 2006
- Last Updated
- Jan 12, 2012
Practice Location
- Address
- 134 GRANDVIEW AVE
- City
- Waterbury
- State
- Connecticut
- ZIP Code
- 06708-2507
- Phone
- (203) 756-8911
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Physician Assistant - Medical — Medical |
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