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Individual

CHRISTOPHER JOHN MARITATO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
800 N JUSTICE ST, HENDERSONVILLE, NC 28791-3410
(828) 696-1000
(828) 696-1314
Mailing address
PO BOX 160448, MIAMI, FL 33116-0448

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
9600286
NC
207P00000X
Emergency Medicine Physician
OS8219
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
273466400
FL
01
30028
BLUE CROSS OF FLORIDA
FL
01
NCY421A
MEDICARE
NC
01
P01003998
MEDICARE RAILROAD
FL
Enumeration date
07/16/2006
Last updated
09/21/2018
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