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NPI Code Detail

MEDICARE: CHRISTOPHER C DIGIACOMO PA

MEDICARE: CHRISTOPHER C DIGIACOMO PA
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
1363A00000XPhysician AssistantMA054130PA

General Provider Information

NPI Number : 1659606986
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER C DIGIACOMO PA
Provider Business Mailing Address
First Line : 801 OSTRUM ST
Second Line :
City : BETHLEHEM
State : PA
Zip : 18015-1000
Country : US
Telephone Number : 610-954-1735
Fax Number : 610-954-2429
Provider Business Practice Location Address
First Line : 1411 S COLLEGEVILLE RD
Second Line :
City : COLLEGEVILLE
State : PA
Zip : 19426-2957
Country : US
Telephone Number : 484-902-1893
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2009
Last Update Date : 01/25/2021

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Directions to “ CHRISTOPHER C DIGIACOMO PA” Practice Location

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