Provider Demographics
NPI:1992478101
Name:QUAMMEN, CHRISTOPHER W (PA-C)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:W
Last Name:QUAMMEN
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:FALK MEDICAL BUILDING
Mailing Address - Street 2:3601 FIFTH AVE
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213
Mailing Address - Country:US
Mailing Address - Phone:412-586-9875
Mailing Address - Fax:412-864-2663
Practice Address - Street 1:FALK MEDICAL BUILDING
Practice Address - Street 2:3601 FIFTH AVE
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213
Practice Address - Country:US
Practice Address - Phone:412-586-9875
Practice Address - Fax:412-864-2663
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-26
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMA062906363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical