Individual
KIRSTEN FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1255 BROAD ST, CLIFTON, NJ 07013-3398
(973) 685-5755
(862) 662-2342
Mailing address
261 CAROL JEAN WAY, BRANCHBURG, NJ 08876-3303
(908) 566-6481
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00827600
NJ
363AM0700X
Medical Physician Assistant
MA062277
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2020
Last updated
07/03/2024
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