Organization
PETER N. CHRISTIE, D.O.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER CHRISTIE D.O. (OWNER)
(610) 565-1919
Entity
Organization
Contact information
Practice address
1215 W BALTIMORE PIKE, SUITE 13, MEDIA, PA 19063-5540
(610) 565-1919
Mailing address
1215 W BALTIMORE PIKE, SUITE 13, MEDIA, PA 19063-5540
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
OS005633L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021762
INDEPENDENCE BLUE CROSS
PA
Enumeration date
01/28/2011
Last updated
01/28/2011
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