Provider Demographics
NPI:1801833447
Name:CHRISTOFORIDIS, JOHN B (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:B
Last Name:CHRISTOFORIDIS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:456 W 10TH AVE
Mailing Address - Street 2:5TH FLOOR
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43210-1240
Mailing Address - Country:US
Mailing Address - Phone:614-293-0793
Mailing Address - Fax:614-293-5602
Practice Address - Street 1:456 W 10TH AVE
Practice Address - Street 2:5TH FLOOR
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43210-1240
Practice Address - Country:US
Practice Address - Phone:614-293-0793
Practice Address - Fax:614-293-5602
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35.077405207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology