Healthcare Provider Details

I. General information

NPI: 1518115500
Provider Name (Legal Business Name): CHRISTOPHER JAMES HOLT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2008
Last Update Date: 06/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 W PRATT ST
BALTIMORE MD
21201-1023
US

IV. Provider business mailing address

3 CREST PARK CT
SILVER SPRING MD
20903-1306
US

V. Phone/Fax

Practice location:
  • Phone: 800-492-5538
  • Fax:
Mailing address:
  • Phone: 202-674-6845
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License NumberBG6838835
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: