Individual
CHRISTOPHER JON MEHALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
925 CHESTNUT ST, 5TH FLOOR, PHILADELPHIA, PA 19107-4216
(267) 339-3500
(215) 503-0580
Mailing address
833 CHESTNUT ST STE 520, PHILADELPHIA, PA 19107-4430
(800) 321-9999
(267) 339-3761
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
OS-012486
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2123312000
IBC
PA
01
—
3215014
AETNA
PA
01
—
4412252
CIGNA
—
01
—
P2954746
OXFORD
PA
Enumeration date
07/26/2006
Last updated
02/24/2022
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