Healthcare Provider Details

I. General information

NPI: 1639179039
Provider Name (Legal Business Name): CHRISTOPHER JOSEPH PALOMBO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2005
Last Update Date: 07/11/2022
Certification Date: 07/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2580 CONSTITUTION BLVD
BEAVER FALLS PA
15010-1294
US

IV. Provider business mailing address

2580 CONSTITUTION BLVD
BEAVER FALLS PA
15010-1294
US

V. Phone/Fax

Practice location:
  • Phone: 724-843-0737
  • Fax: 724-770-7922
Mailing address:
  • Phone: 724-843-0737
  • Fax: 724-843-0833

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD043222L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: