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NPI Code Detail

MEDICARE: MS. SHAMICA R FRASIER

MEDICARE: MS. SHAMICA R FRASIER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374J00000XDoulaCT

General Provider Information

NPI Number : 1043106974
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHAMICA R FRASIER
Provider Business Mailing Address
First Line : 183 GLEN HAVEN RD
Second Line :
City : NEW HAVEN
State : CT
Zip : 06513-1109
Country : US
Telephone Number : 203-901-7551
Fax Number :
Provider Business Practice Location Address
First Line : 183 GLEN HAVEN RD
Second Line :
City : NEW HAVEN
State : CT
Zip : 06513-1109
Country : US
Telephone Number : 203-901-7551
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2025
Last Update Date : 06/16/2025

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Directions to “ MS. SHAMICA R FRASIER ” Practice Location

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