Provider Demographics
NPI:1962997262
Name:ALBORNOZ, CHRISTIAN (MD)
Entity type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:
Last Name:ALBORNOZ
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 1:945 CHESTERBROOK BLVD
Mailing Address - Street 2:
Mailing Address - City:CHESTERBROOK
Mailing Address - State:PA
Mailing Address - Zip Code:19087-5614
Mailing Address - Country:US
Mailing Address - Phone:610-596-8249
Mailing Address - Fax:610-525-7801
Practice Address - Street 1:945 CHESTERBROOK BLVD
Practice Address - Street 2:
Practice Address - City:CHESTERBROOK
Practice Address - State:PA
Practice Address - Zip Code:19087-5614
Practice Address - Country:US
Practice Address - Phone:610-596-8249
Practice Address - Fax:610-525-7801
Is Sole Proprietor?:No
Enumeration Date:2018-06-28
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD478873207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology