Provider Demographics
NPI:1770608887
Name:FISTLER, CHRISTA R (MD)
Entity type:Individual
Prefix:
First Name:CHRISTA
Middle Name:R
Last Name:FISTLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CHRISTA
Other - Middle Name:REBECCA
Other - Last Name:TOKARSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:656 NORTH CHARLES STREET
Mailing Address - Street 2:SUITE 411
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21204-5803
Mailing Address - Country:US
Mailing Address - Phone:443-849-3901
Mailing Address - Fax:
Practice Address - Street 1:6565 N CHARLES ST STE 411
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21204-5803
Practice Address - Country:US
Practice Address - Phone:443-849-3901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2025-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD65421207RC0200X
MDD0065421207RP1001X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program