Healthcare Provider Details

I. General information

NPI: 1457543696
Provider Name (Legal Business Name): CHRISTOPHER MICHAEL SANDERS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2007
Last Update Date: 02/23/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

74 W BROAD ST STE 170
BETHLEHEM PA
18018-5738
US

IV. Provider business mailing address

74 W BROAD ST STE 170
BETHLEHEM PA
18018-5738
US

V. Phone/Fax

Practice location:
  • Phone: 484-526-1260
  • Fax:
Mailing address:
  • Phone: 484-526-1260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberMD205377
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberMD454410
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: