1104016039 NPI number — CHRISTOPHER J. SAUNDERS, MD, PA

Table of content: (NPI 1104016039)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1104016039 NPI number — CHRISTOPHER J. SAUNDERS, MD, PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CHRISTOPHER J. SAUNDERS, MD, PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1104016039
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/30/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1112 BLACKSHIRE RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WILMINGTON
Provider Business Mailing Address State Name:
DE
Provider Business Mailing Address Postal Code:
19805-2615
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
302-652-0465
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1224 BALTIMORE PIKE
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
CHADDS FORD
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19317-7380
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-459-1559
Provider Business Practice Location Address Fax Number:
610-459-8010
Provider Enumeration Date:
07/26/2007

Additional Information

Authorized Official

Authorized Official Last Name:
SAUNDERS
Authorized Official First Name:
CHRISTOPHER
Authorized Official Middle Name:
JAMES
Authorized Official Title or Position:
OWNER/DIRECTOR
Authorized Official Telephone Number:
610-459-1559

Provider Taxonomy Codes

  • Taxonomy code: 261QA1903X , with the licence number:  16621501 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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