MEDICARE: DR. CHRISTOPHER EDWARD SELGRATH 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	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician	25MB08199800	NJ
2	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician	OS010416L	PA

General Provider Information

NPI Number	:	1801990361
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER EDWARD SELGRATH D.O.

Provider Business Mailing Address
First Line	:	833 CHESTNUT ST STE 520
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-4430
Country	:	US
Telephone Number	:	267-592-6191
Fax Number	:

Provider Business Practice Location Address
First Line	:	2630 HOLME AVE STE 200
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19152-3004
Country	:	US
Telephone Number	:	215-335-6270
Fax Number	:	215-335-6273

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

Provider Enumeration Date	:	09/12/2006
Last Update Date	:	05/20/2021

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Directions to “ DR. CHRISTOPHER EDWARD SELGRATH D.O.” Practice Location

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