Dimitra Christoforatos in Broomall - Pediatrics

Dimitra Christoforatos - NPI 1740495506

Dimitra Christoforatos is a Pediatrics in Broomall, Pennsylvania. Dimitra Christoforatos practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Dimitra Christoforatos is 1740495506. The last update date is 2014-11-10.

Dimitra Christoforatos's current location address is 2000 Sproul Road, Broomall, Pennsylvania. You can contact this provider via phone number 6102840200 and fax number 6103537932. The mailing address for Dimitra Christoforatos is 2000 Sproul Road, Broomall, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Dimitra Christoforatos
Address 2000 Sproul Road, Broomall, Pennsylvania
Phone Number 6102840200
Fax Number 6103537932
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1740495506
Provider Enumeration Date 2007-05-14
Last Updated Date 2014-11-10

Provider Mailing Address Detail

Address 2000 Sproul Road
City Broomall
State Pennsylvania (PA)
Post Code 19008
Phone Number 6102840200
Fax Number 6103537932

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 363Lp0200X
Licence No SP008184
Definition:
An advanced practice registered nurse expert in providing care to infants, children and adolescents.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
RN526518L PA RN LICENSE
3706 PA PRESCRIPTION AUTH
SP008184 PA CRNP LICENSE

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FAQs about Dimitra Christoforatos

What is the unique 10-digit identification code issued to Dimitra Christoforatos by the Centers for Medicare & Medicaid Services?

The Dimitra Christoforatos has been assigned the NPI (National Provider Identifier) 1740495506 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Dimitra Christoforatos's facilities are geographically located?

The facilities of Dimitra Christoforatos are physically situated at the following location: 2000 Sproul Road, Broomall, PA, 19008.

What is Dimitra Christoforatos's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Dimitra Christoforatos is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 363Lp0200X.

When did Dimitra Christoforatos receive its 1740495506 assignment?

The Dimitra Christoforatos was assigned its 1740495506 on 2007-05-14, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Dimitra Christoforatos last refreshed?

The information related to the Dimitra Christoforatos, including its address, specialty, and other relevant details, was last updated on 2014-11-10.

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