Whalio Doctors

NPI 1003090499

Adepeju Gbadebo Champion, MD

Practitioner Internal Medicine Physician Worcester, MA

Practice location

Address
55 Lake Ave N, Worcester, MA 01655-0002
Phone
(508) 334-2731
Fax
(774) 442-4672
Mailing address
PO Box 415348, Boston, MA 02241-5348

Registered specialties

Internal Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 257157 (MA)

Registry record

NPI
1003090499
Entity type
Individual
Sex (as registered)
Female
NPI issued
21 Dec 2007
Record last updated
27 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.