Individual
DEMETRIUS CHRISTOFORATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1110 BETHLEHEM PIKE, FLOURTOWN, PA 19031-2001
(570) 346-7797
(770) 666-9078
Mailing address
1110 BETHLEHEM PIKE, FLOURTOWN, PA 19031-2001
(570) 346-7797
(770) 666-9078
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD036318L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010156520018
—
PA
01
—
P00639175
RR MEDICARE
PA
Enumeration date
03/23/2006
Last updated
08/13/2018
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