Organization
FRAZIER HART INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACEY ERATH CREDENTIALING COORDI (CREDENTIALING COORDINATOR)
(724) 225-6500
Entity
Organization
Contact information
Practice address
125 NORTH FRANKLIN AVE, SUITE 1, WASHINGTON, PA 15301
(724) 225-6500
(724) 225-8188
Mailing address
125 NORTH FRANKLIN AVE, SUITE 1, WASHINGTON, PA 15301
(724) 225-6500
(724) 225-8188
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
207RC000X
PA
207RC0000X
Cardiovascular Disease Physician
Primary
83661837
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009434820001
—
PA
05
—
0009434820017
—
PA
01
—
148559
BLUE SHIELD
PA
Enumeration date
06/08/2006
Last updated
06/11/2010
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