Individual provider · Type 1 NPI

Justin Champagne, PA-C

Medical Physician Assistant · Waterbury, CT

NPI number 1073697108 Active

Practice location

134 Grandview Ave
Waterbury, CT 06708-2507

Call (203) 756-8911 Map

Fax (203) 574-0548

Other practice locations

  • 263 Farmington Ave, Farmington, CT 06030-2803 · (860) 679-2784

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X001721 (CT)
Physician Assistant 363A00000X001721 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1073697108

Justin Champagne, PA-C's National Provider Identifier is 1073697108, issued on Oct 25, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Waterbury, CT. The record was last updated on Aug 26, 2026.