Individual
CHRISTOPHER T ADDIS
Active
Individual
CHRISTOPHER T ADDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD043006L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012352800004
—
PA
01
—
02015602
CAPITAL BLUE CROSS
PA
01
—
110142857
RAILROAD MEDICARE
PA
01
—
1519247
GATEWAY HEALTH PLAN
PA
01
—
33804 S1QA
GEISINGER HEALTH PLAN
PA
01
—
5182104
AETNA NON-HMO
PA
01
—
563521
AETNA HMO
PA
01
—
661702
HIGHMARK BLUE SHIELD
PA
01
—
E77514
HEALTH ASSURANCE
PA
01
—
P002536
GATEWAY HEALTH PLAN
PA
Enumeration date
10/18/2005
Last updated
08/14/2012
Update your record
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