Provider Demographics
NPI:1215172374
Name:PAGNANI, CHRISTOPHER J (MD)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:J
Last Name:PAGNANI
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1528 WALNUT ST STE 1415
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19102-3604
Mailing Address - Country:US
Mailing Address - Phone:267-687-2032
Mailing Address - Fax:267-687-2062
Practice Address - Street 1:1528 WALNUT ST STE 1415
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19102-3604
Practice Address - Country:US
Practice Address - Phone:267-687-2032
Practice Address - Fax:267-687-2062
Is Sole Proprietor?:No
Enumeration Date:2008-12-03
Last Update Date:2024-08-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY3097602084P0800X
MDD00714022084P0800X
CAC1729842084P0800X
NJ25MA094387002084P0800X
PAMD4445622084P0800X
DEC1-00242292084P0800X
FLME1504972084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry