Provider Demographics
NPI:1346245016
Name:CHRISTINA, JAMES ROBERT (DPM)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ROBERT
Last Name:CHRISTINA
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4701 RANDOLPH RD
Mailing Address - Street 2:STE 115
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-2260
Mailing Address - Country:US
Mailing Address - Phone:301-984-5640
Mailing Address - Fax:301-984-3134
Practice Address - Street 1:4701 RANDOLPH RD
Practice Address - Street 2:STE 115
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-2260
Practice Address - Country:US
Practice Address - Phone:301-984-5640
Practice Address - Fax:301-984-3134
Is Sole Proprietor?:No
Enumeration Date:2005-06-17
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00681213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD159391W05Medicare ID - Type UnspecifiedMEDICARE/TRAILBLAZERS
MDT30958Medicare UPIN