Healthcare Provider Details

I. General information

NPI: 1801890397
Provider Name (Legal Business Name): CHRISTOPHER M CONTI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2005
Last Update Date: 09/12/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

537 STANTON CHRISTIANA RD SUITE # 107
NEWARK DE
19713-2146
US

IV. Provider business mailing address

537 STANTON CHRISTIANA RD SUITE # 107
NEWARK DE
19713-2146
US

V. Phone/Fax

Practice location:
  • Phone: 302-633-7550
  • Fax: 302-633-7556
Mailing address:
  • Phone: 302-633-7550
  • Fax: 302-633-7556

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License NumberC10005743
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: