Provider Demographics
NPI:1255593836
Name:CIUNCI, CHRISTINE AGNES (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:AGNES
Last Name:CIUNCI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CHRISTINE
Other - Middle Name:AGNES
Other - Last Name:MARTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:51 NORTH 39TH ST.
Mailing Address - Street 2:MEDICAL ARTS BLDG. SUITE 103A
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104
Mailing Address - Country:US
Mailing Address - Phone:215-662-9801
Mailing Address - Fax:
Practice Address - Street 1:51 NORTH 39TH ST.
Practice Address - Street 2:MEDICAL ARTS BLDG. SUITE 103A
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104
Practice Address - Country:US
Practice Address - Phone:215-662-9801
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-25
Last Update Date:2014-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD441713207RH0003X
PAMT192737207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology