Individual
JEAN A FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 CENTURY DR, WORCESTER, MA 01606-1244
(774) 442-2263
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
72101
MA
2084P0804X
Child & Adolescent Psychiatry Physician
72101
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110082070A
—
MA
Enumeration date
10/20/2006
Last updated
02/09/2023
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