Frontera, Miguel Antonio

Frontera, Miguel Antonio is an individual health care provider with primary practice located at 515 Fairmount Ave Suite 640, Towson MD 21286-5466. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Frontera, Miguel Antonio can be contacted via phone (410) 494-1350.

Contact Information

Primary practice address
515 Fairmount Ave Suite 640 Towson MD 21286-5466
Phone: (410) 494-1350
Fax: (410) 494-1374
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X D37559 Maryland

Profile Details

NPI number 1760423313
LBN Legal business name Frontera, Miguel Antonio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Aug 14th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760423313 NPPES
Maryland MEDICAID 186916100

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