Healthcare Provider Details

I. General information

NPI: 1518996941
Provider Name (Legal Business Name): CHRISTOPHER J BARONE DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 SOMERDALE SQ
SOMERDALE NJ
08083-1345
US

IV. Provider business mailing address

500 MARLBORO AVE
CHERRY HILL NJ
08002-2020
US

V. Phone/Fax

Practice location:
  • Phone: 856-309-7700
  • Fax: 856-661-5162
Mailing address:
  • Phone: 856-661-1515
  • Fax: 856-661-5162

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number25MB03495500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: