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Individual
JOSEPH FRAZER III
Active
Individual
JOSEPH FRAZER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
6062
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0105715Y0NH01
ANTHEM NH ID #
NH
05
—
81030856
—
NH
Enumeration date
07/05/2005
Last updated
07/08/2007
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