Provider Demographics
NPI:1730178468
Name:HARRINGTON, CHRISTOPHER C (MD)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:C
Last Name:HARRINGTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10718 BALLANTRAYE DR
Mailing Address - Street 2:SUITE 404
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22407-4703
Mailing Address - Country:US
Mailing Address - Phone:540-479-4204
Mailing Address - Fax:540-479-5205
Practice Address - Street 1:10718 BALLANTRAYE DR
Practice Address - Street 2:SUITE 404
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22407-4703
Practice Address - Country:US
Practice Address - Phone:540-479-4204
Practice Address - Fax:540-479-5205
Is Sole Proprietor?:No
Enumeration Date:2005-10-15
Last Update Date:2011-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101043995207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010000131Medicaid
VA010000131Medicaid
00V592C23Medicare PIN