Individual
MR. ALBERT ANGUS FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
178 CLIZBE AVE, AMSTERDAM, NY 12010-7520
(518) 843-8745
(518) 842-9633
Mailing address
178 CLIZBE AVE, AMSTERDAM, NY 12010-7520
(518) 843-8745
(518) 842-9633
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
188814
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10000687
CDPHP
NY
05
—
1580414
—
NY
01
—
32061
MVP
NY
Enumeration date
08/22/2006
Last updated
03/24/2011
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