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NPI Code Detail

MEDICARE: CHRISTOPHER JOSEPH PALOMBO M.D.

MEDICARE: CHRISTOPHER JOSEPH PALOMBO M.D.
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
1207V00000XObstetrics & Gynecology PhysicianMD043222LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639179039
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER JOSEPH PALOMBO M.D.
Provider Business Mailing Address
First Line : 2580 CONSTITUTION BLVD
Second Line :
City : BEAVER FALLS
State : PA
Zip : 15010-1294
Country : US
Telephone Number : 724-843-0737
Fax Number : 724-843-0833
Provider Business Practice Location Address
First Line : 2580 CONSTITUTION BLVD
Second Line :
City : BEAVER FALLS
State : PA
Zip : 15010-1294
Country : US
Telephone Number : 724-843-0737
Fax Number : 724-770-7922
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2005
Last Update Date : 07/11/2022

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