Healthcare Provider Details
I. General information
NPI: 1508361411
Provider Name (Legal Business Name): CHRISTOPHER MICHAEL PINKOWSKI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/25/2018
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5501 OLD YORK RD STE 1
PHILADELPHIA PA
19141-3098
US
IV. Provider business mailing address
1239 E PALMER ST
PHILADELPHIA PA
19125-3307
US
V. Phone/Fax
- Phone: 215-456-7900
- Fax:
- Phone: 805-433-4848
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207XS0106X |
| Taxonomy | Orthopaedic Hand Surgery Physician |
| License Number | MD485362 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: