Provider Demographics
NPI:1427453240
Name:TOBIAS, CHRISTOPHER THOMAS (PA-C)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:THOMAS
Last Name:TOBIAS
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:700 SPRUCE STREET
Mailing Address - Street 2:SUITE 305 DUNCAN BUILDING
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19106-4023
Mailing Address - Country:US
Mailing Address - Phone:570-573-6510
Mailing Address - Fax:215-596-7147
Practice Address - Street 1:700 SPRUCE STREET
Practice Address - Street 2:SUITE 305 DUNCAN BUILDING
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19106-4023
Practice Address - Country:US
Practice Address - Phone:570-573-6510
Practice Address - Fax:215-596-7147
Is Sole Proprietor?:No
Enumeration Date:2014-10-23
Last Update Date:2024-04-02
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Provider Licenses
StateLicense IDTaxonomies
PAOA003403363A00000X
PAMA057197363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant