Edward A Fraser is a Medical in New London, Connecticut. Edward A Fraser practices all healthcare services and medical treatments related to Medical. The NPI Number for Edward A Fraser is 1265576508. The last update date is 2007-07-09.
Edward A Fraser's current location address is 365 Montauk Ave, New London, Connecticut. You can contact this provider via phone number 8604420711. The mailing address for Edward A Fraser is 365 Montauk Ave, New London, Connecticut. To know further, please read the information below!
Provider Profile Detail
Provider Name | Edward A Fraser |
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Address | 365 Montauk Ave, New London, Connecticut |
Phone Number | 8604420711 |
Fax Number | |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1265576508 |
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Provider Enumeration Date | 2007-02-19 |
Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
Address | 365 Montauk Ave |
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City | New London |
State | Connecticut (CT) |
Post Code | 63204700 |
Phone Number | 8604420711 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Medical |
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Taxonomy | 363Am0700X |
Licence No | 391 |
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
4041679 | CO | -- | |
4024972 | CT | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Edward A Fraser by the Centers for Medicare & Medicaid Services?
The Edward A Fraser has been issued the NPI (National Provider Identifier) 1265576508, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Edward A Fraser?
The Edward A Fraser is physically situated at 365 Montauk Ave, in the city of New London, state of CT, with the postal code 63204700.
What is Edward A Fraser's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Edward A Fraser is Medical, and the taxonomy code that categorizes this field of expertise is 363Am0700X.
On what date did the Edward A Fraser receive the assignment of its 1265576508 from the Centers for Medicare & Medicaid Services?
The Edward A Fraser was issued its 1265576508 by the Centers for Medicare & Medicaid Services on 2007-02-19.
As of what date was the information pertaining to Edward A Fraser, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Edward A Fraser, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.