Provider Demographics
NPI:1447240866
Name:HUMPHREYS, CHRISTOPHER WESLEY (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:WESLEY
Last Name:HUMPHREYS
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:55 HIGHLAND AVE
Mailing Address - Street 2:SUITE 104 (NORTH SHORE PULMONARY ASSOCIATES)
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-2185
Mailing Address - Country:US
Mailing Address - Phone:978-745-4489
Mailing Address - Fax:978-741-3131
Practice Address - Street 1:55 HIGHLAND AVE
Practice Address - Street 2:SUITE 104 (NORTH SHORE PULMONARY ASSOCIATES)
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-2185
Practice Address - Country:US
Practice Address - Phone:978-745-4489
Practice Address - Fax:978-741-3131
Is Sole Proprietor?:No
Enumeration Date:2005-10-26
Last Update Date:2009-05-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM4822207RP1001X, 207RC0200X, 207RS0012X
MA237653207RP1001X, 207RC0200X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine