Individual
MATTHEW CHAMPEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
41 BREWSTER RD, BRISTOL, CT 06010-5161
(860) 585-3000
(860) 585-3907
Mailing address
PO BOX 2699, DEPT 200, HARTFORD, CT 06146-2699
(866) 898-7138
(616) 975-9824
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001690
CT
Other
Enumeration date
01/18/2006
Last updated
11/16/2007
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