Provider Demographics
NPI:1508054875
Name:FROST, PHILIP NMI (MD)
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:NMI
Last Name:FROST
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 1:4 EMERSON CT
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-2760
Mailing Address - Country:US
Mailing Address - Phone:973-898-0555
Mailing Address - Fax:973-267-7917
Practice Address - Street 1:4 EMERSON CT
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-2760
Practice Address - Country:US
Practice Address - Phone:973-898-0555
Practice Address - Fax:973-267-7917
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-11
Last Update Date:2007-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05920600207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine