Healthcare Provider Details

I. General information

NPI: 1346257045
Provider Name (Legal Business Name): CHRISTINE A PHILLIPS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/02/2006
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 DUTCHMANS LN STE A3
EASTON MD
21601-4302
US

IV. Provider business mailing address

505 DUTCHMANS LN STE A3
EASTON MD
21601-4302
US

V. Phone/Fax

Practice location:
  • Phone: 410-819-6545
  • Fax: 410-819-6750
Mailing address:
  • Phone: 410-819-6545
  • Fax: 410-819-6750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberD0104052
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: