Healthcare Provider Details

I. General information

NPI: 1174528129
Provider Name (Legal Business Name): CHRISTOPHER DROOGAN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2005
Last Update Date: 04/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 E LANCASTER AVE J.D LANKENAU PAVILION, MEZZANINE
WYNNEWOOD PA
19096-3450
US

IV. Provider business mailing address

100 E LANCASTER AVE J.D LANKENAU PAVILION, MEZZANINE
WYNNEWOOD PA
19096-3450
US

V. Phone/Fax

Practice location:
  • Phone: 484-476-1000
  • Fax: 484-476-9000
Mailing address:
  • Phone: 484-476-1000
  • Fax: 484-476-9000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberOS007561L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207RA0001X
TaxonomyAdvanced Heart Failure and Transplant Cardiology Physician
License NumberOS007561L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: