Individual
DR. MAUREEN O. FRASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
505 NEW BRUNSWICK AVE, PERTH AMBOY, NJ 08861-3653
(732) 826-8464
(732) 826-4022
Mailing address
505 NEW BRUNSWICK AVE, PERTH AMBOY, NJ 08861-3653
(732) 826-8464
(732) 826-4022
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22D101529300
NJ
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22D102188601
NJ
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
22D102203608
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1835904
—
NJ
05
—
3300102
—
NJ
Enumeration date
10/04/2006
Last updated
09/11/2025
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