Basic Information
| Provider Information | |||||||||
| NPI: | 1447240866 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HUMPHREYS | ||||||||
| FirstName: | CHRISTOPHER | ||||||||
| MiddleName: | WESLEY | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 55 HIGHLAND AVE | ||||||||
| Address2: | SUITE 104 (NORTH SHORE PULMONARY ASSOCIATES) | ||||||||
| City: | SALEM | ||||||||
| State: | MA | ||||||||
| PostalCode: | 019702185 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9787454489 | ||||||||
| FaxNumber: | 9787413131 | ||||||||
| Practice Location | |||||||||
| Address1: | 55 HIGHLAND AVE | ||||||||
| Address2: | SUITE 104 (NORTH SHORE PULMONARY ASSOCIATES) | ||||||||
| City: | SALEM | ||||||||
| State: | MA | ||||||||
| PostalCode: | 019702185 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9787454489 | ||||||||
| FaxNumber: | 9787413131 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/26/2005 | ||||||||
| LastUpdateDate: | 05/19/2009 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RP1001X | M4822 | TX | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease | 207RC0200X | M4822 | TX | N | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine | 207RS0012X | M4822 | TX | N | Allopathic & Osteopathic Physicians | Internal Medicine | Sleep Medicine | 207RP1001X | 237653 | MA | N | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease | 207RC0200X | 237653 | MA | N | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine | 207RS0012X | 237653 | MA | N | Allopathic & Osteopathic Physicians | Internal Medicine | Sleep Medicine |
No ID Information.