Provider Demographics
NPI:1265561997
Name:DRS. JAMES R. CHRISTINA & STEVEN G. CHATLIN, P.A.
Entity type:Organization
Organization Name:DRS. JAMES R. CHRISTINA & STEVEN G. CHATLIN, P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:CHRISTINA
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:301-984-5640
Mailing Address - Street 1:4701 RANDOLPH RD
Mailing Address - Street 2:SUITE 115
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-2257
Mailing Address - Country:US
Mailing Address - Phone:301-984-5640
Mailing Address - Fax:301-230-1855
Practice Address - Street 1:4701 RANDOLPH RD
Practice Address - Street 2:SUITE 115
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-2257
Practice Address - Country:US
Practice Address - Phone:301-984-5640
Practice Address - Fax:301-230-1855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00681213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD072398300Medicaid
MD0914630001Medicare NSC
MD072398300Medicaid