Basic Information
Provider Information
NPI: 1669867859
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TOTRI
FirstName: CHRISTINE
MiddleName: R
NamePrefix: DR.
NameSuffix:  
Credential: MD, MAS
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5530 WISCONSIN AVE
Address2:  
City: CHEVY CHASE
State: MD
PostalCode: 208154404
CountryCode: US
TelephoneNumber: 3019512400
FaxNumber:  
Practice Location
Address1: 5530 WISCONSIN AVE STE 730
Address2:  
City: CHEVY CHASE
State: MD
PostalCode: 208154447
CountryCode: US
TelephoneNumber: 3019512400
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/03/2015
LastUpdateDate: 07/03/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207N00000XD0087410MDN Allopathic & Osteopathic PhysiciansDermatology 
207N00000X295432NYN Allopathic & Osteopathic PhysiciansDermatology 
207N00000XMD047331DCY Allopathic & Osteopathic PhysiciansDermatology 

No ID Information.


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