Provider Demographics
NPI:1558771089
Name:ACHARTE, CHRISTIAN BORIS
Entity Type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:BORIS
Last Name:ACHARTE
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 1:700 HORIZON DR STE 206
Mailing Address - Street 2:
Mailing Address - City:CHALFONT
Mailing Address - State:PA
Mailing Address - Zip Code:18914-3967
Mailing Address - Country:US
Mailing Address - Phone:215-395-8888
Mailing Address - Fax:
Practice Address - Street 1:700 HORIZON CIRCLE STE 206
Practice Address - Street 2:
Practice Address - City:CHALFONT
Practice Address - State:PA
Practice Address - Zip Code:18914-3967
Practice Address - Country:US
Practice Address - Phone:215-395-8888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-06
Last Update Date:2019-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4634842081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine