Mr Caleb R Frazier, RD, LDN | |
2729 Blair Mill Rd Ste E, Willow Grove, PA 19090-1042 | |
(215) 672-0899 | |
(215) 672-5108 |
Full Name | Mr Caleb R Frazier |
---|---|
Gender | Male |
Speciality | Dietitian, Registered |
Location | 2729 Blair Mill Rd Ste E, Willow Grove, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528332467 | NPI | - | NPPES |
N00AW | Other | FL | FL BLUE |
FV422Z | Other | FL | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | ND5980 (Florida) | Secondary |
133V00000X | Dietitian, Registered | DN006890 (Pennsylvania) | Primary |
Provider Name | Abington Memorial Hospital |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1952330805 PECOS PAC ID: 3274437736 Enrollment ID: O20040406000756 |
Mailing Address | Practice Location Address |
---|---|
Mr Caleb R Frazier, RD, LDN 2500 Maryland Rd Ste 400, Willow Grove, PA 19090-1225 Ph: (215) 481-4143 | Mr Caleb R Frazier, RD, LDN 2729 Blair Mill Rd Ste E, Willow Grove, PA 19090-1042 Ph: (215) 672-0899 |
Mrs. Joan R. Gangwer, MS,RD,CDE,LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2300 Computer Rd, Suite H-39, Willow Grove, PA 19090 Phone: 215-588-6970 | |
Mrs. Julie Kimble, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 134 Greyhorse Rd, Willow Grove, PA 19090 Phone: 610-246-4742 | |
Kathleen H Nellett, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2729 Blair Mill Rd, Suite E, Willow Grove, PA 19090 Phone: 215-672-0899 Fax: 215-672-5108 | |
Karin Sargrad, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2729 Blair Mill Rd, Suite E, Willow Grove, PA 19090 Phone: 215-672-0899 | |
Eileen M Sturner, Dietitian Medicare: Accepting Medicare Assignments Practice Location: 2729 Blair Mill Rd, Suite E, Willow Grove, PA 19090 Phone: 215-672-0899 | |
Lynn E Sinclair, Dietitian Medicare: Accepting Medicare Assignments Practice Location: 2729 Blair Mill Rd, Suite E, Willow Grove, PA 19090 Phone: 215-672-0899 |