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Individual

DR. EDWARD CHAMPOUX

Active
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Individual

DR. EDWARD CHAMPOUX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
01059883A
IN
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
318518
NY
208000000X
Pediatrics Physician
01059883A
IN

Other

Enumeration date
09/26/2005
Last updated
01/10/2025
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