Provider Demographics
NPI:1811047681
Name:RETAJCZYK, CHRISTOPHER TODD (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:TODD
Last Name:RETAJCZYK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:35 SANTA RITA AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94116-1465
Mailing Address - Country:US
Mailing Address - Phone:415-706-6215
Mailing Address - Fax:415-750-1329
Practice Address - Street 1:3850 CALIFORNIA ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1502
Practice Address - Country:US
Practice Address - Phone:415-750-6226
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG0811692080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine