Individual
MR. BLAKE M. CHRISTOPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
801 OLD YORK RD, SUITE 315, JENKINTOWN, PA 19046-1611
(215) 886-3620
Mailing address
801 OLD YORK RD, SUITE 315, JENKINTOWN, PA 19046-1611
(215) 886-3620
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
224P00000X
Prosthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002587000
PERSONAL CHOICE
PA
05
—
0561550
—
PA
01
—
282753
PENNSYLVANIA BLUE SHIELD
PA
05
—
3486303
—
NJ
01
—
3910
AETNA
PA
Enumeration date
09/06/2006
Last updated
09/11/2025
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