Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2081S0010X | Sports Medicine | 01452 | MD |
N | 213ES0000X | Sports Medicine | 01452 | MD |
Y | 213ES0103X | Foot & Ankle Surgery | 01452 | MD |
N | 213ES0131X | Foot Surgery | 01452 | MD |
NPI | 1548335177 |
---|---|
Provider Name | Dr. Julie Catherine Fraser |
First Address | Frederick, MD 21702-4895 |
Second Address | Frederick, MD 21702-4895 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2006 |
Last Update Date | 08/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
N12433 | (02) | MD |