Healthcare Provider Details
I. General information
NPI: 1275732943
Provider Name (Legal Business Name): CHRISTOPHER JOHN FORSTER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/13/2007
Last Update Date: 07/11/2024
Certification Date: 07/11/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4954 N PALMER RD BLDG 19
BETHESDA MD
20889-5630
US
IV. Provider business mailing address
8901 ROCKVILLE PIKE
BETHESDA MD
20889-0001
US
V. Phone/Fax
- Phone: 301-295-4512
- Fax:
- Phone: 301-295-4512
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | D0068968 |
| License Number State | MD |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RR0500X |
| Taxonomy | Rheumatology Physician |
| License Number | D0068968 |
| License Number State | MD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: