Provider Demographics
NPI:1265670046
Name:CHRISTOPHER, DAWN STEPHANIE (MD)
Entity Type:Individual
Prefix:DR
First Name:DAWN
Middle Name:STEPHANIE
Last Name:CHRISTOPHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:12070 OLD LINE CTR
Mailing Address - Street 2:SUITE 303
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20602-2513
Mailing Address - Country:US
Mailing Address - Phone:301-645-5100
Mailing Address - Fax:607-763-5064
Practice Address - Street 1:12070 OLD LINE CTR
Practice Address - Street 2:SUITE 303
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20602-2513
Practice Address - Country:US
Practice Address - Phone:301-645-5100
Practice Address - Fax:607-763-5064
Is Sole Proprietor?:No
Enumeration Date:2009-02-02
Last Update Date:2017-02-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
NJ25MA08709500207R00000X
NY272726207R00000X, 208M00000X
MDD0082004207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist