Provider Demographics
NPI:1912901604
Name:HARRIS, CHRISTOPHER F (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:F
Last Name:HARRIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:NEWBURYPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01950-3867
Mailing Address - Country:US
Mailing Address - Phone:978-463-1383
Mailing Address - Fax:978-469-1386
Practice Address - Street 1:25 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950-3867
Practice Address - Country:US
Practice Address - Phone:978-463-1383
Practice Address - Fax:978-469-1386
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2014-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA48031207R00000X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
974557OtherNETWORK HEALTH
MA04-04479OtherEVERCARE
110214687OtherRAILROAD MEDICARE
MA2085573Medicaid
6733911OtherCIGNA
73372OtherHEALTHSOURCE
MAD11118OtherBLUE CROSS BLUE SHIELD
MA048031OtherTUFTS HEALTH PLAN
MA23185OtherHARVARD PILGRIM HEALTHCAR
0016312OtherNEIGHBORHOOD HEALTH PLAN
NV30011464OtherNH MEDICAID
NHB73681OtherANTHEM BLUE CROSS
974557OtherNETWORK HEALTH
MAB73681Medicare UPIN