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Individual
ROBERT J FRASER
Active
Individual
ROBERT J FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
46010
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0136166
—
MA
01
—
046010
TUFTS
MA
01
—
65152
HARVARD PILGIRM
MA
01
—
N01905
BLUE CROSS AND BLUE SHIEL
MA
Enumeration date
10/05/2006
Last updated
02/28/2013
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