Basic Information
Provider Information
NPI: 1619266996
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WERTER
FirstName: CHRISTOPHER
MiddleName: ROBERT SIMON
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2494 BERNVILLE RD
Address2: STE 201
City: READING
State: PA
PostalCode: 196059468
CountryCode: US
TelephoneNumber: 6103782499
FaxNumber: 6103782989
Practice Location
Address1: 1259 S CEDAR CREST BLVD STE 301
Address2:  
City: ALLENTOWN
State: PA
PostalCode: 181036206
CountryCode: US
TelephoneNumber: 6104390372
FaxNumber: 6104378807
Other Information
ProviderEnumerationDate: 04/07/2011
LastUpdateDate: 09/20/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/20/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2086S0129XMD464821PAY Allopathic & Osteopathic PhysiciansSurgeryVascular Surgery

No ID Information.


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