Provider Demographics
NPI:1417121179
Name:WHITNEY, CHRISTIAN JOHN (DO)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:JOHN
Last Name:WHITNEY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 772
Mailing Address - Street 2:GREENWICH ANESTHESIOLOGY
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06836
Mailing Address - Country:US
Mailing Address - Phone:973-204-5383
Mailing Address - Fax:
Practice Address - Street 1:5 PERRYRIDGE RD
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-4608
Practice Address - Country:US
Practice Address - Phone:203-863-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-14
Last Update Date:2009-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH13811207L00000X
CT047383207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology