| Organization Name: | MEDICAL FRONTIERS, LLC |
| NPI Number: | 1588754485 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANDRZEJ K ZIELKE (PRESIDENT) |
| Mailing Address: | 8775 Norwin Ave Suite 114 Irwin |
| State: | PA US |
| Postal Code: | 156422718 |
| Phone Number: | 4124074790 |
| Fax Number: | |
| NPI Enumeration Date: | 10/13/2006 |
| NPI Last Update Date: | 09/12/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP3300X |
| License Number: | MD055360L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Pain |
| Taxonomy Definition: | |