Provider Demographics
NPI:1801990346
Name:DELONG, CHRISTOPHER JUDE (MSPT)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:JUDE
Last Name:DELONG
Suffix:
Gender:M
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8500
Mailing Address - Street 2:LOCKBOX #4446
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19178-8500
Mailing Address - Country:US
Mailing Address - Phone:888-846-5527
Mailing Address - Fax:607-324-2369
Practice Address - Street 1:700 VETERANS CIR
Practice Address - Street 2:SUITE 200
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-3532
Practice Address - Country:US
Practice Address - Phone:215-674-3373
Practice Address - Fax:215-674-3736
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT0166902251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPT-094951UG6Medicare ID - Type Unspecified