Healthcare Provider Details

I. General information

NPI: 1770608887
Provider Name (Legal Business Name): CHRISTA R FISTLER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHRISTA REBECCA TOKARSKY MD

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6565 N CHARLES ST STE 411
BALTIMORE MD
21204-5803
US

IV. Provider business mailing address

656 NORTH CHARLES STREET SUITE 411
BALTIMORE MD
21204-5803
US

V. Phone/Fax

Practice location:
  • Phone: 443-849-3901
  • Fax:
Mailing address:
  • Phone: 443-849-3901
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberD65421
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberD0065421
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: