Healthcare Provider Details

I. General information

NPI: 1609805415
Provider Name (Legal Business Name): CHRISTINA FIGLOZZI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2006
Last Update Date: 01/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10630 LITTLE PATUXENT PKWY #125
COLUMBIA MD
21044-3264
US

IV. Provider business mailing address

10630 LITTLE PATUXENT PKWY #125
COLUMBIA MD
21044-3264
US

V. Phone/Fax

Practice location:
  • Phone: 410-995-5437
  • Fax:
Mailing address:
  • Phone: 410-995-5437
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD0062923
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: