MEDICARE: CHRISTINA MARIE YOST D.O.

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	208000000X	Pediatrics Physician	OS014476	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MB08567100	OTHER	NJ	MEDICAL LICENSE
2	OS014476	OTHER	PA	LICENSE

General Provider Information

NPI Number	:	1588899355
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA MARIE YOST D.O.

Provider Business Mailing Address
First Line	:	7201 RISING SUN AVE
Second Line	:	RISING SUN PEDIATRICS
City	:	PHILADELPHIA
State	:	PA
Zip	:	19111-3926
Country	:	US
Telephone Number	:	215-722-8105
Fax Number	:

Provider Business Practice Location Address
First Line	:	7201 RISING SUN AVE
Second Line	:	RISING SUN PEDIATRICS
City	:	PHILADELPHIA
State	:	PA
Zip	:	19111-3926
Country	:	US
Telephone Number	:	215-722-8105
Fax Number	:

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

Provider Enumeration Date	:	05/22/2009
Last Update Date	:	07/14/2014

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