Provider Demographics
NPI:1912978644
Name:BECHARA, CHRISTOPHER I (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:I
Last Name:BECHARA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:136 HIGH STREET EXT
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:MA
Mailing Address - Zip Code:01523-2056
Mailing Address - Country:US
Mailing Address - Phone:978-368-8956
Mailing Address - Fax:978-368-1058
Practice Address - Street 1:136 HIGH STREET EXT
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:MA
Practice Address - Zip Code:01523-2056
Practice Address - Country:US
Practice Address - Phone:978-368-8956
Practice Address - Fax:978-368-1058
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-31
Last Update Date:2010-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA204955207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAH41572Medicare UPIN