Individual
MR. MARTIN INNIS FRAZEE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
800 W CUMMINGS PARK STE 1800, WOBURN, MA 01801-6373
(617) 916-5069
(617) 467-4073
Mailing address
800 W CUMMINGS PARK STE 1800, WOBURN, MA 01801-6373
(617) 916-5069
(617) 467-4073
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2351899
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2351899
MA
Other
Enumeration date
04/30/2019
Last updated
02/01/2024
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