Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JUSTIN CHAMPAGNE, PA-C
ActiveMedical Physician Assistant · WATERBURY, CT
Registration Details
- NPI Number
- 1073697108
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 25, 2006 (19.490008077196 yrs)
- Last Updated
- Jan 12, 2012
- Licenses
-
001721 (CT)001721 (CT)
Practice Information
- Address
-
134 GRANDVIEW AVEWATERBURY, CT, 067082507Browse CT providers · Browse ZIP 06708
- Phone
- 2037568911
- Fax
- 2035740548
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in WATERBURY, CT
| Name | Credential | NPI |
|---|---|---|
| ROSS G UTTER | PA | 1831156249 |
| MR. RICHARD POPE | PA-C | 1114985728 |
| JOHN LUM | PA-C | 1528016441 |
| MICHELLE MARIE LACHANCE | PA | 1154357671 |
| MR. RONALD A FOX | PA-C | 1922036821 |
| ANGELA M BARROWS | PA | 1356370662 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.