Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223S0112X | Oral and Maxillofacial Surgeon | DS037106 | PA |
Y | 204E00000X | Oral & Maxillofacial Surgeon | DS037106 | PA |
NPI | 1245215508 |
---|---|
Provider Name | Dr. Allen F. Champion |
First Address | Philadelphia, PA 19107-5211 |
Second Address | Philadelphia, PA 19107-5211 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2005 |
Last Update Date | 23/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0270113 | (05) | NJ |
1026152500001 | (05) | PA |