Provider Demographics
NPI:1780690107
Name:FROLOV, BORIS ANTOMONIE (MD)
Entity Type:Individual
Prefix:DR
First Name:BORIS
Middle Name:ANTOMONIE
Last Name:FROLOV
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7250 PARKWAY DR
Mailing Address - Street 2:SUITE #500
Mailing Address - City:HANOVER
Mailing Address - State:MD
Mailing Address - Zip Code:21076-1388
Mailing Address - Country:US
Mailing Address - Phone:443-949-0814
Mailing Address - Fax:
Practice Address - Street 1:7250 PARKWAY DR
Practice Address - Street 2:SUITE #500
Practice Address - City:HANOVER
Practice Address - State:MD
Practice Address - Zip Code:21076-1388
Practice Address - Country:US
Practice Address - Phone:443-949-0814
Practice Address - Fax:443-949-0825
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2016-02-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD77483207U00000X, 207U00000X
MDD007743207RG0300X
NY232105-1207UN0903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No207UN0903XAllopathic & Osteopathic PhysiciansNuclear MedicineIn Vivo & In Vitro Nuclear Medicine