Jeffrey Lynn Fraser in San Jose - Neurology

Jeffrey Lynn Fraser - NPI 1619930716

Jeffrey Lynn Fraser is a Neurology in San Jose, California. Jeffrey Lynn Fraser practices all healthcare services and medical treatments related to Neurology. The NPI Number for Jeffrey Lynn Fraser is 1619930716. The last update date is 2007-09-12.

Jeffrey Lynn Fraser's current location address is 751 S Bascom Ave, San Jose, California. You can contact this provider via phone number 4088855580. The mailing address for Jeffrey Lynn Fraser is 751 S Bascom Ave, San Jose, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffrey Lynn Fraser
Address 751 S Bascom Ave, San Jose, California
Phone Number 4088855580
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1619930716
Provider Enumeration Date 2006-04-10
Last Updated Date 2007-09-12

Provider Mailing Address Detail

Address 751 S Bascom Ave
City San Jose
State California (CA)
Post Code 951282604
Phone Number 4088855580
Fax Number

Provider's Primary Taxonomy Detail

Speciality Neurology
Taxonomy 2084N0400X
Licence No G62227
Definition:
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00G622270 CA --

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FAQs about Jeffrey Lynn Fraser

What is the Jeffrey Lynn Fraser's unique identification number?

The Jeffrey Lynn Fraser has been assigned the NPI (National Provider Identifier) Number 1619930716 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Jeffrey Lynn Fraser is geographically located?

The Jeffrey Lynn Fraser is physically situated at the following location: 751 S Bascom Ave, San Jose, CA, 951282604.

What is the area of specialization for Jeffrey Lynn Fraser, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jeffrey Lynn Fraser is Neurology, and the corresponding taxonomy code that categorizes this area of expertise is 2084N0400X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1619930716 to Jeffrey Lynn Fraser?

The Centers for Medicare & Medicaid Services originally issued the 1619930716 to Jeffrey Lynn Fraser on 2006-04-10.

When was the information regarding Jeffrey Lynn Fraser most recently updated?

The details pertaining to the Jeffrey Lynn Fraser, including its address, specialty, and other relevant information, were last refreshed on 2007-09-12.

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