Healthcare Provider Details

I. General information

NPI: 1043392749
Provider Name (Legal Business Name): CHRISTOPHER A FROTHINGHAM D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 02/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

655 MAIN STREET
SACO ME
04072
US

IV. Provider business mailing address

P.O. BOX 626 ONE MEDICAL CENTER DRIVE
BIDDEFORD ME
04005
US

V. Phone/Fax

Practice location:
  • Phone: 207-602-3548
  • Fax: 207-284-6291
Mailing address:
  • Phone: 207-283-7000
  • Fax: 207-282-9128

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number1784
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: