Individual
MRS. JOANA LOUISE FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
319 LONGWOOD AVE, SPORTS MEDICINE, BOSTON, MA 02115-5728
(617) 355-3501
Mailing address
319 LONGWOOD AVE, SPORTS MEDICINE, BOSTON, MA 02115-5728
(617) 355-3501
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
256327
MA
2080S0010X
Pediatric Sports Medicine Physician
Primary
256327
MA
Other
Enumeration date
04/25/2010
Last updated
08/25/2016
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