Individual
MITCHELL M FROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11119 ROCKVILLE PIKE STE 105, ROCKVILLE, MD 20852-3143
(301) 493-9400
Mailing address
11119 ROCKVILLE PIKE STE 105, ROCKVILLE, MD 20852-3143
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D43005
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010044278
RAILROAD #
MD
01
—
D43005
MD LIC.
MD
Enumeration date
02/22/2007
Last updated
03/10/2009
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