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Individual

DR. CHRISTOPHER FORMAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1513 RACE ST, PHILADELPHIA, PA 19102-1125
(215) 587-3159
(215) 587-9405
Mailing address
1513 RACE ST, PHILADELPHIA, PA 19102-1125
(215) 587-3159
(215) 587-9405

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD024740E
PA

Other

Enumeration date
01/03/2006
Last updated
04/16/2008
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