Provider Demographics
NPI:1740811249
Name:CHRISTINA L. CERVIERI MD LLC
Entity type:Organization
Organization Name:CHRISTINA L. CERVIERI MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHOPEDIC SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:L
Authorized Official - Last Name:CERVIERI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-821-3467
Mailing Address - Street 1:12020 WETHERFIELD LN
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-1111
Mailing Address - Country:US
Mailing Address - Phone:202-409-2044
Mailing Address - Fax:
Practice Address - Street 1:ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER
Practice Address - Street 2:9901 MEDICAL CENTER DR
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852
Practice Address - Country:US
Practice Address - Phone:240-826-6000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-03
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty