Individual
JEAN L FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
140 LINCOLN AVE, PATHOLOGY DEPT, HAVERHILL, MA 01830
(978) 521-8680
(978) 521-8790
Mailing address
115 LINCOLN ST, FRAMINGHAM, MA 01702-6358
(978) 521-8680
(978) 521-8790
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
151910
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3164675
—
MA
Enumeration date
07/10/2006
Last updated
06/24/2016
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