Provider Demographics
NPI:1346236403
Name:OSWALD, CHRISTOPHER TODD (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:TODD
Last Name:OSWALD
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 1:3 LIFE MARK DR
Mailing Address - Street 2:
Mailing Address - City:SELLERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18960-1598
Mailing Address - Country:US
Mailing Address - Phone:215-257-1127
Mailing Address - Fax:215-257-0129
Practice Address - Street 1:1569 MEDICAL DR STE 202
Practice Address - Street 2:
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464-3223
Practice Address - Country:US
Practice Address - Phone:610-402-3110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-23
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD426118207RC0200X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1012787180001Medicaid
PA2402394000OtherKEYSTONE EAST
PA1735153OtherPERSONAL CHOICE
PAOS1735153OtherHIGHMARK BLUE SHIELD
PA2402394000OtherKEYSTONE EAST
PAOS1735153OtherHIGHMARK BLUE SHIELD
H55044Medicare UPIN