Individual
DR. CHRISTOPHER D. ANDRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
RT. 6 TOWN PLAZA, TUNKHANNOCK, PA 18657
(570) 836-4294
(570) 836-7709
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD056625L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015799700002
—
PA
01
—
080170533
RR MEDICARE PIN
PA
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU039862
MEDICARE GROUP
PA
Enumeration date
02/07/2006
Last updated
03/26/2021
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