Provider Demographics
NPI:1952447666
Name:BRISTOL, CHRISTOPHER P (RDCS, RVS, BS, CCT)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:P
Last Name:BRISTOL
Suffix:
Gender:M
Credentials:RDCS, RVS, BS, CCT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:83 HANOVER ST
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03101-2216
Mailing Address - Country:US
Mailing Address - Phone:603-437-9621
Mailing Address - Fax:866-265-3113
Practice Address - Street 1:83 HANOVER ST
Practice Address - Street 2:SUITE 1B
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03101-2216
Practice Address - Country:US
Practice Address - Phone:603-437-9621
Practice Address - Fax:866-265-3113
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile