Organization
FRAZIER ROSE ANGSTADT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS G. FRAZIER M.D. (PRESIDENT)
(610) 520-0700
Entity
Organization
Contact information
Practice address
101 S BRYN MAWR AVE, SUITE 201, BRYN MAWR, PA 19010-3120
(610) 520-0700
(610) 520-0744
Mailing address
101 S BRYN MAWR AVE, SUITE 201, BRYN MAWR, PA 19010-3120
(610) 520-0700
(610) 520-0744
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CL2377
RAILROAD MEDICARE
PA
Enumeration date
12/31/2007
Last updated
03/04/2008
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