Provider Demographics
NPI:1710931936
Name:VINNARD, CHRISTOPHER LAWRENCE (MD)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:LAWRENCE
Last Name:VINNARD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1601 CHERRY ST
Mailing Address - Street 2:SUITE 11511
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19102-1321
Mailing Address - Country:US
Mailing Address - Phone:215-762-2533
Mailing Address - Fax:215-762-2531
Practice Address - Street 1:1427 VINE ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19102-1031
Practice Address - Country:US
Practice Address - Phone:215-762-2533
Practice Address - Fax:215-762-2531
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2022-02-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD431922207RI0200X
NY233329207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102577604Medicaid
NY233329OtherNYS LICENSE
PA219166Medicare PIN