Provider Demographics
NPI:1801807862
Name:POZZA, CHRISTOPHER HUGH (BMBS)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:HUGH
Last Name:POZZA
Suffix:
Gender:M
Credentials:BMBS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3 DEACON AVENUE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:SA
Mailing Address - Zip Code:5063
Mailing Address - Country:AU
Mailing Address - Phone:8-234-8311
Mailing Address - Fax:8-234-8355
Practice Address - Street 1:7 SHANKS ROAD
Practice Address - Street 2:
Practice Address - City:ALDGATE
Practice Address - State:SA
Practice Address - Zip Code:5154
Practice Address - Country:AU
Practice Address - Phone:8-370-1506
Practice Address - Fax:8-234-8355
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-079224P2085R0202X
PAMD4184532085R0202X
NJ25MA075458002085R0202X
MN404192085R0202X
IA347032085R0202X
SC0235962085R0202X
MI43010 832182085R0202X
IN01059512A2085R0202X
MDD626482085R0202X
IL2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHH54768Medicare UPIN