Basic Information
Provider Information
NPI: 1073510038
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALAND
FirstName: CHRISTOPHER
MiddleName: MARTIN
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 833 CHESTNUT ST STE 520
Address2:  
City: PHILADELPHIA
State: PA
PostalCode: 191074430
CountryCode: US
TelephoneNumber: 2675926191
FaxNumber: 2673393761
Practice Location
Address1: 2700 S EAGLE RD
Address2:  
City: NEWTOWN
State: PA
PostalCode: 189401570
CountryCode: US
TelephoneNumber: 8003219999
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/06/2005
LastUpdateDate: 11/03/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/03/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000XME151228FLN Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 
207X00000X25MA04400700NJN Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 
207X00000XMD044007LPAY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

ID Information
IDTypeStateIssuerDescription
00126708000805PA MEDICAID
001265708000605PA MEDICAID
67621101PAHIGHMARK BLUE SHIELDOTHER
050969200001PAKEYSTONE IBCOTHER
P0089860401PARAILROAD MEDICAREOTHER
650486701PAAETNAOTHER


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