Fraser, Keith Evan

Fraser, Keith Evan is an individual health care provider with primary practice located at 134 Evergreen Pl 3Rd Floor, East Orange NJ 07018-2011. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Fraser, Keith Evan can be contacted via phone (973) 678-8144.

Contact Information

Primary practice address
134 Evergreen Pl 3Rd Floor East Orange NJ 07018-2011
Phone: (973) 678-8144
Fax: (973) 678-2830
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 53154 New Jersey

Profile Details

NPI number 1881621266
LBN Legal business name Fraser, Keith Evan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Jul 8th, 2007 - about 17 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 1881621266 NPPES
New Jersey Other P1278567 OXFORD
New Jersey Other 0K7327 OXFORD
New Jersey Other 44430 OXFORD
New Jersey Other 0383367000 OXFORD
New Jersey Other 0980497 OXFORD
New Jersey Other 1018005 OXFORD
New Jersey MEDICAID 3417301 OXFORD

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