Provider Demographics
NPI:1619952728
Name:CHRISTIE, MAISLYN ANNMARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:MAISLYN
Middle Name:ANNMARIE
Last Name:CHRISTIE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2309 GOLD MINE RD
Mailing Address - Street 2:
Mailing Address - City:BROOKEVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20833-2233
Mailing Address - Country:US
Mailing Address - Phone:301-570-3459
Mailing Address - Fax:301-774-5823
Practice Address - Street 1:3300 OLNEY SANDY SPRING RD
Practice Address - Street 2:SUITE 330
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-1494
Practice Address - Country:US
Practice Address - Phone:301-570-2003
Practice Address - Fax:301-774-5823
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD38739208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
KW0CH5OtherBCBS MD
B846OtherBCBS OF NCA
B846OtherBCBS OF NCA