Provider Demographics
NPI:1922325380
Name:ULEN, CHRISTINA G (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:G
Last Name:ULEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 EAST ST. SE #301
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22180
Mailing Address - Country:US
Mailing Address - Phone:703-938-5555
Mailing Address - Fax:703-319-8580
Practice Address - Street 1:100 EAST ST. SE #301
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22180
Practice Address - Country:US
Practice Address - Phone:703-938-5555
Practice Address - Fax:703-319-8580
Is Sole Proprietor?:No
Enumeration Date:2010-04-26
Last Update Date:2019-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDPENDING208000000X
VA0101254713208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics