Individual
DENISE M FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
ONE HOSPITAL ROAD, OAK BLUFFS, MA 02557-1477
(508) 693-0410
(508) 693-5971
Mailing address
ONE HOSPITAL ROAD, P.O. BOX 1477, OAK BLUFFS, MA 02557-1477
(508) 693-0410
(508) 693-5971
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
214813
MA
2086S0127X
Trauma Surgery Physician
214813
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0174530
—
MA
Enumeration date
07/13/2005
Last updated
10/27/2014
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