Healthcare Provider Details

I. General information

NPI: 1285009514
Provider Name (Legal Business Name): CHRISTOPHER JOHN STANIORSKI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: MR. CHRISTOPHER THADDEUS JONES

II. Dates (important events)

Enumeration Date: 12/11/2015
Last Update Date: 07/03/2025
Certification Date: 07/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 MICHIGAN AVE NW
WASHINGTON DC
20010-2916
US

IV. Provider business mailing address

111 MICHIGAN AVE NW
WASHINGTON DC
20010-2916
US

V. Phone/Fax

Practice location:
  • Phone: 484-467-0383
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2088P0231X
TaxonomyPediatric Urology Physician
License NumberMD600003836
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: