Healthcare Provider Details

I. General information

NPI: 1154646420
Provider Name (Legal Business Name): CHRISTOPH THOMAS HUTCHINSON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2010
Last Update Date: 07/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 WALNUT ST 9TH FL
PHILADELPHIA PA
19107-5176
US

IV. Provider business mailing address

800 WALNUT ST 9TH FL
PHILADELPHIA PA
19107-5176
US

V. Phone/Fax

Practice location:
  • Phone: 215-829-5027
  • Fax: 215-829-6391
Mailing address:
  • Phone: 215-829-5027
  • Fax: 215-829-6391

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberMD458313
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: