Healthcare Provider Details

I. General information

NPI: 1881293769
Provider Name (Legal Business Name): CHRISTOPHER JULIEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2020
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2041 GEORGIA AVE NW
WASHINGTON DC
20060-6133
US

IV. Provider business mailing address

3950 GARDEN CITY DR APT 512
HYATTSVILLE MD
20785-2402
US

V. Phone/Fax

Practice location:
  • Phone: 202-865-6692
  • Fax: 202-865-1773
Mailing address:
  • Phone: 337-241-0035
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMTL50001788
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: