Individual
MR. CHRISTOPHER JOHN MU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
45 MUD CREEK RD, TROY, PA 16947-9529
(570) 297-3746
(570) 297-5127
Mailing address
571 SAINT JOSEPHS BLVD FL 2, ELMIRA, NY 14901-3230
(607) 271-2050
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
018442
NY
363A00000X
Physician Assistant
Primary
MA057079
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04134483
—
NY
01
—
378943YHLY
PA MEDICARE (NOVITAS)
PA
Enumeration date
10/01/2012
Last updated
06/16/2016
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