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1710955638

NPI Code Detail

MEDICARE: DR. CHRISTOPHER J MOTTO MD

MEDICARE: DR. CHRISTOPHER J MOTTO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RB0002X	Obesity Medicine (Internal Medicine) Physician	MD072095L	PA
2	2083P0011X	Undersea and Hyperbaric Medicine (Preventive Medicine) Physician	MD072095L	PA
3	208600000X	Surgery Physician	MD072095L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710955638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER J MOTTO MD

Provider Business Mailing Address
First Line	:	ONE HOSPITAL DRIVE
Second Line	:	SUITE 306
City	:	LEWISBURG
State	:	PA
Zip	:	17837-9350
Country	:	US
Telephone Number	:	570-522-4110
Fax Number	:	570-768-3911

Provider Business Practice Location Address
First Line	:	25 LYSTRA ROGERS DR
Second Line	:
City	:	LEWISBURG
State	:	PA
Zip	:	17837-8807
Country	:	US
Telephone Number	:	570-523-3290
Fax Number	:	570-524-5231

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2006
Last Update Date	:	06/09/2022

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Directions to “ DR. CHRISTOPHER J MOTTO MD” Practice Location

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