Provider Demographics
NPI:1538698741
Name:HERRMANN, CHRISTOPHER MICHAEL (PA-C, MSHS)
Entity Type:Individual
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First Name:CHRISTOPHER
Middle Name:MICHAEL
Last Name:HERRMANN
Suffix:
Gender:M
Credentials:PA-C, MSHS
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Mailing Address - Street 1:231 WYNSTONE CT
Mailing Address - Street 2:
Mailing Address - City:COLMAR
Mailing Address - State:PA
Mailing Address - Zip Code:18915-3107
Mailing Address - Country:US
Mailing Address - Phone:443-442-9522
Mailing Address - Fax:
Practice Address - Street 1:541 S OXFORD VALLEY RD
Practice Address - Street 2:
Practice Address - City:FAIRLESS HILLS
Practice Address - State:PA
Practice Address - Zip Code:19030-2612
Practice Address - Country:US
Practice Address - Phone:267-202-6433
Practice Address - Fax:267-594-4303
Is Sole Proprietor?:No
Enumeration Date:2017-06-09
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMA062411363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant