Provider Demographics
NPI:1407884976
Name:FRAS, CHRISTIAN
Entity Type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:
Last Name:FRAS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 SPROUL RD
Mailing Address - Street 2:SUITE 320
Mailing Address - City:BROOMALL
Mailing Address - State:PA
Mailing Address - Zip Code:19008-3509
Mailing Address - Country:US
Mailing Address - Phone:610-353-5079
Mailing Address - Fax:484-427-8103
Practice Address - Street 1:2000 SPROUL RD
Practice Address - Street 2:SUITE 320
Practice Address - City:BROOMALL
Practice Address - State:PA
Practice Address - Zip Code:19008-3509
Practice Address - Country:US
Practice Address - Phone:484-427-8100
Practice Address - Fax:484-427-8103
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-30
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD424663207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE000000308051OtherUNISON-DELAWARE COMMERCIAL MCO
PA615900300OtherTRICARE
PA9889702OtherCIGNA
PA2307113000OtherINDEPENDENCE BLUE CROSS
DE2522492OtherHIGHMARK BLUE SHIELD
PA101083593Medicaid
PA1631494OtherHIGHMARK BLUE SHIELD
PA30076180OtherKEYSTONE MERCY
PA101083593 0009Medicaid
PA2307113000OtherINDEPENDENCE BLUE CROSS
PA30076180OtherKEYSTONE MERCY
H11691Medicare UPIN
DE2522492OtherHIGHMARK BLUE SHIELD