Fraser, Maureen O.

Fraser, Maureen O. is an sole proprietor health care provider with primary practice located at 505 New Brunswick Ave , Perth Amboy NJ 08861-3653. She recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Dentist is her primary health care specialty. Fraser, Maureen O. can be contacted via phone (732) 826-8464.

Contact Information

Primary practice address
505 New Brunswick Ave Perth Amboy NJ 08861-3653
Phone: (732) 826-8464
Fax: (732) 826-4022
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 22D101529300 New Jersey
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 22D102188601 New Jersey
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 22D102203608 New Jersey

Profile Details

NPI number 1922194570
LBN Legal business name Fraser, Maureen O.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2006
Last updated Jul 9th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1922194570 NPPES
New Jersey MEDICAID 1835904
New Jersey MEDICAID 3300102

Popular Providers