Doctor Name: | DR. SUSAN M FRASER |
NPI Number: | 1023003621 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | ME55701 |
Business Practice Address: | 620 10th Street N. St. Petersburg, FL - 337051407 |
Business Phone Number: | 7278248325 |
Business Fax Number: | 7278248347 |
Mailing Address: | Po Box 12868, ST. PETERSBURG |
State: | FL |
Postal Code: | 337332868 |
Phone Number: | 7278248357 |
Fax Number: | 7278243132 |
NPI Enumeration Date: | 09/20/2005 |
NPI Last Update Date: | 01/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RR0500X |
License Number: | ME55701 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Rheumatology |
Taxonomy Definition: | An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |