Provider Demographics
NPI:1295709079
Name:MALDARELLA, CHRISTOPHER JOHN (PA)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:JOHN
Last Name:MALDARELLA
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:6713 BURBAGE LAKE CIR
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23435-2902
Mailing Address - Country:US
Mailing Address - Phone:757-484-0263
Mailing Address - Fax:
Practice Address - Street 1:USS GEORGE WASHINGTON CVN 73
Practice Address - Street 2:
Practice Address - City:FPO
Practice Address - State:VA
Practice Address - Zip Code:09550-2873
Practice Address - Country:US
Practice Address - Phone:757-444-4907
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-16
Last Update Date:2022-07-21
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical