Individual
MIGUEL ANTONIO FRONTERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
515 FAIRMOUNT AVE, SUITE 640, TOWSON, MD 21286-5466
(410) 494-1350
(410) 494-1374
Mailing address
515 FAIRMOUNT AVE, CREDENTIALING DEPARTMENT, TOWSON, MD 21286-5466
(410) 494-1324
(410) 494-1361
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D37559
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186916100
—
MD
Enumeration date
06/08/2006
Last updated
08/14/2009
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