Provider Demographics
NPI:1285848630
Name:CHRISTINE M SCIARA MD PC
Entity Type:Organization
Organization Name:CHRISTINE M SCIARA MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:MARGARET
Authorized Official - Last Name:SCIARA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-696-1598
Mailing Address - Street 1:1595 PAOLI PIKE
Mailing Address - Street 2:SUITE #105
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-6167
Mailing Address - Country:US
Mailing Address - Phone:610-696-1598
Mailing Address - Fax:610-696-6924
Practice Address - Street 1:1595 PAOLI
Practice Address - Street 2:SUITE 105
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-6167
Practice Address - Country:US
Practice Address - Phone:610-696-1598
Practice Address - Fax:610-696-6924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD025990E207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
B36377Medicare UPIN
PASC100031Medicare ID - Type Unspecified