Provider Demographics
NPI:1356983811
Name:FRONTLINE PHYSICIANS CORP
Entity type:Organization
Organization Name:FRONTLINE PHYSICIANS CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIAN
Authorized Official - Middle Name:LASZLO
Authorized Official - Last Name:SANDOR
Authorized Official - Suffix:
Authorized Official - Credentials:MD, CWS-P
Authorized Official - Phone:610-400-4253
Mailing Address - Street 1:3119 ROBERTS LNDG
Mailing Address - Street 2:
Mailing Address - City:FINKSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21048-1352
Mailing Address - Country:US
Mailing Address - Phone:610-400-4253
Mailing Address - Fax:
Practice Address - Street 1:1314 BEDFORD AVE
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-6604
Practice Address - Country:US
Practice Address - Phone:610-400-4253
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-16
Last Update Date:2019-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty