Fraser, Denise M

Fraser, Denise M is an individual health care provider with primary practice located at One Hospital Road , Oak Bluffs MA 02557-1477. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Fraser, Denise M can be contacted via phone (508) 693-0410.

Contact Information

Primary practice address
One Hospital Road Oak Bluffs MA 02557-1477
Fax: (508) 693-5971
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 214813 Massachusetts
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 214813 Massachusetts

Profile Details

NPI number 1306844212
LBN Legal business name Fraser, Denise M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Oct 27th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306844212 NPPES
Massachusetts MEDICAID 0174530

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