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Individual

EVA V FRASER-HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
111 COLCHESTER AVE, FAHC-WP2, BURLINGTON, VT 05401-1473
(802) 847-2415
(802) 847-5324
Mailing address
111 COLCHESTER AVE, FAHC-WP2, BURLINGTON, VT 05401-1473
(802) 847-2415
(802) 847-5324

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
042-0009005
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01551124
NY
05
0VN1071
VT
Enumeration date
06/06/2006
Last updated
02/21/2012
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