Individual
JEFFREY LYNN FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
751 S BASCOM AVE, NEUROLOGY DEPARTMENT, SAN JOSE, CA 95128-2604
(408) 885-5580
Mailing address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
(408) 885-5000
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G62227
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G622270
—
CA
Enumeration date
04/10/2006
Last updated
09/12/2007
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