Individual
MS. MEGHAN FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1600 HADDON AVE, CAMDEN, NJ 08103-3101
(856) 757-3803
(856) 365-7773
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00192400
NJ
363A00000X
Physician Assistant
MA053058
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
063045
MEDICARE GROUP NUMBER
PA
Enumeration date
06/02/2008
Last updated
07/26/2021
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