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Dr. Keith Evan Fraser, MD
Specialist in East Orange, New Jersey
NPI 1881621266

Keith Evan Fraser is a Specialist based in East Orange, NJ. Keith Evan Fraser practices in East Orange, NJ and has the professional credentials of MD. The NPI Number for Keith Evan Fraser is 1881621266 and holds a License No. 53154 (New Jersey).

The current practice location address for Keith Evan Fraser is 134 Evergreen Pl, East Orange, NJ and can be reached out via phone at 973-678-8144 and via fax at 973-678-2830.

Location: 134 Evergreen Pl, East Orange, NJ, 07018-2011
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881621266
Provider Name
Keith Evan Fraser
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
134 Evergreen Pl, East Orange, NJ, 07018-2011
Phone Number
973-678-8144
Fax Number
973-678-2830
Provider Enumeration Date
06/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P1278567 01 NJ OXFORD
0K7327 01 NJ HEALTHNET
44430 01 NJ AETNA
0383367000 01 NJ AMERIHEALTH
0980497 01 NJ CIGNA
1018005 01 NJ HORIZON NJ HEALTH
3417301 05 NJ
institution
Provider Business Practice Location Address Details
Address
134 Evergreen Pl
City
East Orange
State
New Jersey
Zip
07018-2011
Phone Number
973-678-8144
Fax Number
973-678-2830
person
Provider Business Mailing Address Details
Address
134 Evergreen Pl
City
East Orange
State
New Jersey
Zip
07018-2011
Phone Number
973-678-8144
Fax Number
973-678-2830
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
53154 (New Jersey)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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