Healthcare Provider Details

I. General information

NPI: 1245226828
Provider Name (Legal Business Name): CHRISTOPHER JOSEPH VALLOROSI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2005
Last Update Date: 09/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 BANNING ST SUITE 250
DOVER DE
19904
US

IV. Provider business mailing address

200 BANNING ST SUITE 250
DOVER DE
19904
US

V. Phone/Fax

Practice location:
  • Phone: 302-736-1320
  • Fax: 302-736-0769
Mailing address:
  • Phone: 302-736-1320
  • Fax: 302-736-0769

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberC10006256
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: