Individual
ETHAN JOHN FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 CENTER DR, BETHESDA, MD 20892
(301) 496-4000
Mailing address
2000 CONNECTICUT AVE NW 711, WASHINGTON, DC 20008
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD500002927
DC
Other
Enumeration date
03/28/2021
Last updated
05/23/2024
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