MEDICARE: MR. CHRISTOPHER THOMAS TOBIAS PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	MA057197	PA

General Provider Information

NPI Number	:	1427453240
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CHRISTOPHER THOMAS TOBIAS PA-C

Provider Business Mailing Address
First Line	:	4536 SPRUCE STREET
Second Line	:	GROUND FLOOR
City	:	PHILADELPHIA
State	:	PA
Zip	:	19139
Country	:	US
Telephone Number	:	215-474-6100
Fax Number	:	215-474-6123

Provider Business Practice Location Address
First Line	:	4536 SPRUCE STREET
Second Line	:	GROUND FLOOR
City	:	PHILADELPHIA
State	:	PA
Zip	:	19139
Country	:	US
Telephone Number	:	215-474-6100
Fax Number	:	215-474-6123

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/23/2014
Last Update Date	:	11/07/2025

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