Provider Demographics
NPI:1831185289
Name:VAGLIA, CHRISTOPHER P (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:P
Last Name:VAGLIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:15 S 8TH ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-2776
Mailing Address - Country:US
Mailing Address - Phone:724-463-0476
Mailing Address - Fax:724-463-1196
Practice Address - Street 1:25 COLONY BLVD
Practice Address - Street 2:STE 108
Practice Address - City:BLAIRSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15717-1357
Practice Address - Country:US
Practice Address - Phone:724-459-6063
Practice Address - Fax:724-459-6022
Is Sole Proprietor?:No
Enumeration Date:2005-09-21
Last Update Date:2016-12-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD073345L208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA101107640001Medicaid
PA848902OtherHIGHMARK
PA848902OtherHIGHMARK