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Individual

DR. HAWWA SHARIF FRAZIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
340 EXCHANGE BLVD STE 120, BETHLEHEM, GA 30620-1759
(678) 963-7300
Mailing address
140 WHITEHEAD AVE, SAYREVILLE, NJ 08872-1187
(732) 638-4688
(732) 360-5081

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25MB09310600
NJ
207Q00000X
Family Medicine Physician
Primary
89615
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1881889277
NJ
01
316822
PTAN
NJ
Enumeration date
09/10/2007
Last updated
07/13/2022
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