Organization
DR A FRAZIER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ACQUANETTA LAVERNE FRAZIER MD (OWNER)
(301) 552-1801
Entity
Organization
Contact information
Practice address
9821 GREENBELT RD, SUITE 104, LANHAM, MD 20706-2265
(301) 552-1906
(301) 805-1505
Mailing address
PO BOX 77793, WASHINGTON, DC 20013-8793
(301) 805-4586
(301) 805-1505
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
D0022435
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011722500
—
DC
05
—
157411600
—
MD
01
—
F912
CAREFIRST BLUE CROSS BLUE SHIELD
MD
Enumeration date
04/21/2009
Last updated
07/30/2012
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