MEDICARE: DR. CHRISTOPHER P. RAAB MD

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	C10007366	DE
2	208D00000X	General Practice Physician	C10007366	DE
3	208M00000X	Hospitalist Physician	MD424484	PA
4	208M00000X	Hospitalist Physician	C10007366	DE
5	208000000X	Pediatrics Physician	MD424484	PA

Other Identifiers

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

General Provider Information

NPI Number	:	1790877520
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER P. RAAB MD

Provider Business Mailing Address
First Line	:	PO BOX 783311
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19178-3311
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2401 NORTHAMPTON ST STE 210
Second Line	:
City	:	EASTON
State	:	PA
Zip	:	18045-2764
Country	:	US
Telephone Number	:	484-591-7471
Fax Number	:

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

Provider Enumeration Date	:	09/29/2006
Last Update Date	:	12/01/2021

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Directions to “ DR. CHRISTOPHER P. RAAB MD” Practice Location

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