Provider Demographics
NPI:1134230436
Name:HOVE, CHRISTOPHER RANDALL (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:RANDALL
Last Name:HOVE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:195 W LANCASTER AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:PAOLI
Mailing Address - State:PA
Mailing Address - Zip Code:19301-1748
Mailing Address - Country:US
Mailing Address - Phone:610-647-3727
Mailing Address - Fax:610-647-4969
Practice Address - Street 1:195 W LANCASTER AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:PAOLI
Practice Address - State:PA
Practice Address - Zip Code:19301-1748
Practice Address - Country:US
Practice Address - Phone:610-647-3727
Practice Address - Fax:610-647-4969
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2010-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA75246174400000X
PAMD4317002082S0099X, 207Y00000X, 207YS0123X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery
No174400000XOther Service ProvidersSpecialist
No2082S0099XAllopathic & Osteopathic PhysiciansPlastic SurgeryPlastic Surgery Within the Head and Neck
No207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H41693Medicare UPIN
PA118131ZC9GMedicare PIN