Individual
DR. KEITH EVAN FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
134 EVERGREEN PL, 3RD FLOOR, EAST ORANGE, NJ 07018-2011
(973) 678-8144
(973) 678-2830
Mailing address
134 EVERGREEN PL, 3RD FLOOR, EAST ORANGE, NJ 07018-2011
(973) 678-8144
(973) 678-2830
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
53154
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0383367000
AMERIHEALTH
NJ
01
—
0980497
CIGNA
NJ
01
—
0K7327
HEALTHNET
NJ
01
—
1018005
HORIZON NJ HEALTH
NJ
05
—
3417301
—
NJ
01
—
44430
AETNA
NJ
01
—
P1278567
OXFORD
NJ
Enumeration date
06/28/2006
Last updated
07/08/2007
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