person
Edward A Fraser, PA-C
Surgical Physician Assistant in New London, Connecticut
NPI 1265576508

Edward A Fraser is a Surgical Physician Assistant based in New London, CT and is specialized in Surgical. Edward A Fraser practices in New London, CT and has the professional credentials of PA-C. The NPI Number for Edward A Fraser is 1265576508 and holds a License No. 000391 (Connecticut).

The current practice location address for Edward A Fraser is 365 Montauk Ave, New London, CT and can be reached out via phone at 860-442-0711.

Location: 365 Montauk Ave, New London, CT, 06320-4700
person
Provider Profile Details
NPI Number
1265576508
Provider Name
Edward A Fraser
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
365 Montauk Ave, New London, CT, 06320-4700
Phone Number
860-442-0711
Fax Number
Provider Enumeration Date
02/19/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4041679 05 CO
4024972 05 CT
institution
Provider Business Practice Location Address Details
Address
365 Montauk Ave
City
State
Zip
06320-4700
Phone Number
860-442-0711
Fax Number
person
Provider Business Mailing Address Details
Address
365 Montauk Ave
City
State
Zip
06320-4700
Phone Number
860-442-0711
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
000391 (Connecticut)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
000391 (Connecticut)
Definition
Definition to come...
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