| Edward A Fraser, PA-C | |
|
365 Montauk Ave, New London, CT 06320-4700 | |
| (860) 442-0711 | |
| Not Available |
| Full Name | Edward A Fraser |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Surgical |
| Location | 365 Montauk Ave, New London, Connecticut |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265576508 | NPI | - | NPPES |
| 4041679 | Medicaid | CO | |
| 4024972 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 000391 (Connecticut) | Primary |
| 363AS0400X | Physician Assistant - Surgical | 000391 (Connecticut) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Edward A Fraser, PA-C 365 Montauk Ave, New London, CT 06320-4700 Ph: (860) 442-0711 | Edward A Fraser, PA-C 365 Montauk Ave, New London, CT 06320-4700 Ph: (860) 442-0711 |
Sydney Howe, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711 | |
Mr. Bryan Keith Oditt, APA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15 Mohegan Ave, New London, CT 06320 Phone: 860-444-8207 Fax: 860-444-8413 | |
Danielle J Robbins, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 351 N Frontage Rd, New London, CT 06320 Phone: 860-865-0934 | |
Alexander James Ejzak, P.A. Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711 | |
Mrs. Katheryn E Grossman, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-444-5104 | |
Nicole Allegra Geer, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-271-4309 | |
Abbey E. Cox, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Avenue, New London, CT 06320 Phone: 860-442-0711 |