Provider Demographics
NPI:1558464644
Name:DUE, CHRISTOPHER FRANKLIN (MD)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:FRANKLIN
Last Name:DUE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-851-6400
Mailing Address - Fax:717-851-6410
Practice Address - Street 1:4020 CARLISLE RD
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:PA
Practice Address - Zip Code:17315-3508
Practice Address - Country:US
Practice Address - Phone:717-851-6400
Practice Address - Fax:717-851-6410
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2016-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD036922E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP00315187OtherMC RAILROAD
PA01711401OtherBC
PA193189OtherBS
PA193189OtherBS
C33205Medicare UPIN
PA193189FLTMedicare PIN
PA193189VAXMedicare ID - Type Unspecified