Fraser, Robert J

Fraser, Robert J is an individual health care provider with primary practice located at 84 Marginal Way Suite 800, Portland ME 04101. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Fraser, Robert J can be contacted via phone (207) 774-5816.

Contact Information

Primary practice address
84 Marginal Way Suite 800 Portland ME 04101
Phone: (207) 774-5816
Fax: (207) 523-8597
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 1964 Maine
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 1964 Maine

Profile Details

NPI number 1134206352
LBN Legal business name Fraser, Robert J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Oct 26th, 2010 - about 14 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 1134206352 NPPES
Maine MEDICAID 432557599
Maine MEDICAID 30226223

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