Basic Information
Provider Information
NPI: 1134184427
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: POHL
FirstName: CHRISTOPH
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6290 LOWTHER ROAD
Address2:  
City: LEWISBERRY
State: PA
PostalCode: 173399527
CountryCode: US
TelephoneNumber: 7179325200
FaxNumber: 7179323095
Practice Location
Address1: 6290 LOWTHER ROAD
Address2:  
City: LEWISBERRY
State: PA
PostalCode: 173399527
CountryCode: US
TelephoneNumber: 7179325200
FaxNumber: 7179323095
Other Information
ProviderEnumerationDate: 04/19/2006
LastUpdateDate: 03/29/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/29/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0202XMD064175LPAN Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
2085R0204XMD064175LPAY Allopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology

No ID Information.


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