Basic Information
Provider Information
NPI: 1477948271
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BARLOW
FirstName: CHRISTIAN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 800 SPRUCE ST
Address2:  
City: PHILADELPHIA
State: PA
PostalCode: 191076130
CountryCode: US
TelephoneNumber: 2158297817
FaxNumber:  
Practice Location
Address1: 400 CAMPUS BLVD STE 100
Address2:  
City: WINCHESTER
State: VA
PostalCode: 226016906
CountryCode: US
TelephoneNumber: 5406621108
FaxNumber: 5404502244
Other Information
ProviderEnumerationDate: 03/30/2015
LastUpdateDate: 10/19/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/19/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X0101275371VAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RX0202X0101275371VAY Allopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology

No ID Information.


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