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Organization

CHRISTIE MEDICAL CLINIC, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN ELLIOTT CHRISTIE M.D. (DOCTOR)
(410) 224-2880
Entity
Organization

Contact information

Practice address
2661 RIVA RD, SUITE 610, ANNAPOLIS, MD 21401-7353
(410) 224-2880
(410) 224-7828
Mailing address
2661 RIVA RD, SUITE 610, ANNAPOLIS, MD 21401-7353
(410) 224-2880
(410) 224-7828

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0050605
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3125734
MAMSI UNITED HEALTHCARE
MD
01
496856
NCPPO UNICARE
MD
01
793ACH
BCBS OF MD.
MD
01
J710
BCBS OF NCA
DC
01
P00157968
RAILROAD MEDICARE
MD
Enumeration date
01/12/2007
Last updated
08/22/2020
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