Provider Demographics
NPI:1306923693
Name:FRONT ROYAL PEDIATRICS, PC
Entity type:Organization
Organization Name:FRONT ROYAL PEDIATRICS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:CHRISTOPH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:540-631-7337
Mailing Address - Street 1:315 W 10TH ST
Mailing Address - Street 2:
Mailing Address - City:FRONT ROYAL
Mailing Address - State:VA
Mailing Address - Zip Code:22630-2803
Mailing Address - Country:US
Mailing Address - Phone:540-631-7337
Mailing Address - Fax:540-631-2337
Practice Address - Street 1:315 W 10TH ST
Practice Address - Street 2:
Practice Address - City:FRONT ROYAL
Practice Address - State:VA
Practice Address - Zip Code:22630-2803
Practice Address - Country:US
Practice Address - Phone:540-631-7337
Practice Address - Fax:540-631-2337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty