Provider Demographics
NPI:1376573618
Name:PAUL, CHRISTINA SMITH (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:SMITH
Last Name:PAUL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3535 MARKET ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-3309
Mailing Address - Country:US
Mailing Address - Phone:215-746-1001
Mailing Address - Fax:215-746-1032
Practice Address - Street 1:3535 MARKET ST
Practice Address - Street 2:SUITE 100
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-3309
Practice Address - Country:US
Practice Address - Phone:215-746-1001
Practice Address - Fax:215-746-1032
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2008-08-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD0426407207Q00000X, 207XX0005X
PAMD426407207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine