Provider Demographics
NPI:1558771089
Name:ACHARTE, CHRISTIAN BORIS
Entity type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:BORIS
Last Name:ACHARTE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2401 W CHELTENHAM AVE STE 312
Mailing Address - Street 2:
Mailing Address - City:WYNCOTE
Mailing Address - State:PA
Mailing Address - Zip Code:19095-2946
Mailing Address - Country:US
Mailing Address - Phone:215-395-8888
Mailing Address - Fax:445-269-5619
Practice Address - Street 1:2401 W CHELTENHAM AVE STE 312
Practice Address - Street 2:
Practice Address - City:WYNCOTE
Practice Address - State:PA
Practice Address - Zip Code:19095-2946
Practice Address - Country:US
Practice Address - Phone:445-300-7313
Practice Address - Fax:445-269-5619
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-06
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4634842081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine