Provider Demographics
NPI:1144218181
Name:KOWALSKI, CHRISTOPHER (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:
Last Name:KOWALSKI
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 1:301 OXFORD VALLEY RD STE 701
Mailing Address - Street 2:
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-7706
Mailing Address - Country:US
Mailing Address - Phone:215-757-5131
Mailing Address - Fax:215-757-5870
Practice Address - Street 1:301 OXFORD VALLEY RD STE 701
Practice Address - Street 2:
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067-7706
Practice Address - Country:US
Practice Address - Phone:215-757-5131
Practice Address - Fax:215-757-5870
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-13
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD32985208600000X
NJ25MA07422400208600000X
KS04-33691208600000X
PAMD420494208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0019587840004Medicaid
PA3193882OtherCIGNA PA
PA2185111000OtherKEYSTONE IBC
PA30248666OtherKEYSTONE FIRST
PA1496070OtherHIGHMARK BLUE SHIELD
PA7488482OtherAETNA
PAP01515609OtherRAILROAD MEDICARE
PA2185111000OtherKEYSTONE IBC
PA0019587840004Medicaid