Individual
JOHN ARTHUR FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
123 MAPLE ST, BRISTOL, CT 06010-5037
(860) 584-8021
(860) 584-0326
Mailing address
PO BOX 2828, BRISTOL, CT 06011-2828
(860) 585-3906
(860) 585-3907
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
023662
CT
207RC0000X
Cardiovascular Disease Physician
023662
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1236629
—
CT
Enumeration date
10/01/2006
Last updated
12/31/2014
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