Organization
ALAIN G CHAMPALOUX, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAIN G CHAMPALOUX M.D. (OWNER)
(301) 627-3500
Entity
Organization
Contact information
Practice address
14314 OLD MARLBORO PIKE, UPPER MARLBORO, MD 20772-2840
(301) 627-3500
(301) 627-1634
Mailing address
14314 OLD MARLBORO PIKE, UPPER MARLBORO, MD 20772-2840
(301) 627-3500
(301) 627-1634
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0042049
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101061100
—
MD
Enumeration date
11/08/2007
Last updated
11/08/2007
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