Provider Demographics
NPI:1174727606
Name:VANDEPOL, CHRISTINA J (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:J
Last Name:VANDEPOL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 W LAFAYETTE ST
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-2207
Mailing Address - Country:US
Mailing Address - Phone:610-246-4560
Mailing Address - Fax:
Practice Address - Street 1:1000 W VALLEY RD
Practice Address - Street 2:SUITE 647
Practice Address - City:SOUTHEASTERN
Practice Address - State:PA
Practice Address - Zip Code:19399-9998
Practice Address - Country:US
Practice Address - Phone:610-687-5999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-11
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04934700207R00000X
PAMD046913L207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine