Individual
ELIZABETH FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
275 NICHOLS RD, FITCHBURG, MA 01420-1919
(978) 343-5196
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA5864
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110121117A
—
MA
Enumeration date
04/08/2015
Last updated
01/27/2025
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