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JOSEPH FRAZER III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 GRIFFIN RD, SUITE A, PORTSMOUTH, NH 03801-7113
(603) 436-7897
(603) 436-7855
Mailing address
800 OCEAN BLVD, RYE, NH 03870-2844

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
6062
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0105715Y0NH01
ANTHEM NH ID #
NH
05
81030856
NH
Enumeration date
07/05/2005
Last updated
07/08/2007
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