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Individual

DR. CHRISTOPHER T. SKIDMORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
909 WALNUT STREET, COB, 2ND FLR, PHILADELPHIA, PA 19107-5509
(215) 955-1234
(215) 955-3745
Mailing address
909 WALNUT STREET, COB, 2ND FLR, PHILADELPHIA, PA 19107-5509
(215) 955-1234
(215) 955-3744

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD426410
PA
2084N0600X
Clinical Neurophysiology Physician
MD426410
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0073466
NJ
05
101381853
PA
Enumeration date
07/21/2006
Last updated
11/19/2014
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