Healthcare Provider Details

I. General information

NPI: 1922052562
Provider Name (Legal Business Name): CHRISTINA M OHNSMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

Provider Other Name: CHRISTINA CELLI OHNSMAN MD

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1991 STATE HILL RD
WYOMISSING PA
19610
US

IV. Provider business mailing address

1991 STATE HILL RD
WYOMISSING PA
19610
US

V. Phone/Fax

Practice location:
  • Phone: 610-478-9998
  • Fax: 610-478-9773
Mailing address:
  • Phone: 610-478-9998
  • Fax: 610-478-9773

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberMD052981L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: