Christopher Andreola, PA-C
Physician Assistant in Philadelphia, PA. Individual provider (NPI-1).
NPI number1417641069
StatusActive
Last updated in NPPESOct 12, 2023
Details
- NPI
- 1417641069
- Entity type
- Individual (NPI-1)
- Name
- Mr. Christopher Andreola
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 6, 2023
- Certification date
- Oct 12, 2023
- Last updated
- Oct 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | MA064858 | PA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | PA |
Practice location
1526 Lombard StPhiladelphia, PA 19146-1625
Phone 215-546-5960 · Fax 610-672-6411
Mailing address
1526 Lombard StPhiladelphia, PA 19146-1625
Phone 215-260-6603 · Fax 610-672-6411
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