Individual
JOSEPHINE MARIE CHAMPLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
504 MONTAUK HWY STE B, CENTER MORICHES, NY 11934-2232
(631) 878-2222
Mailing address
504 MONTAUK HWY STE B, CENTER MORICHES, NY 11934-2232
(631) 878-2222
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
309684
NY
Other
Enumeration date
04/16/2018
Last updated
06/10/2021
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