Healthcare Provider Details
I. General information
NPI: 1609167022
Provider Name (Legal Business Name): CHRISTOPHER DOUGLAS BIEDRZYCKI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/20/2011
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
CHRISTIANA HOSPITAL
NEWARK DE
19718-0001
US
IV. Provider business mailing address
810 WAVERLY RD
KENNETT SQUARE PA
19348-1451
US
V. Phone/Fax
- Phone: 302-733-1042
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | C1-0010894 |
| License Number State | DE |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: