Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | C10010671 | DE |
N | 208000000X | Pediatrician | P20094 | MD |
Y | 2080P0202X | Pediatric Cardiologist | C10010671 | DE |
NPI | 1245377654 |
---|---|
Provider Name | Dr. Aisha Hughes Frazier |
First Address | Rockland, DE 19732-0191 |
Second Address | Wilmington, DE 19803-3607 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2007 |
Last Update Date | 09/10/2013 |