MEDICARE: FRASER CONSULTING GROUP INC

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
1	253Z00000X	In Home Supportive Care Agency	25653601	PA

General Provider Information

NPI Number	:	1356750616
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRASER CONSULTING GROUP INC

Provider Business Mailing Address
First Line	:	7047 GERMANTOWN AVE
Second Line	:	SUITE 103
City	:	PHILADELPHIA
State	:	PA
Zip	:	19119-1827
Country	:	US
Telephone Number	:	267-437-4017
Fax Number	:

Provider Business Practice Location Address
First Line	:	7047 GERMANTOWN AVE
Second Line	:	SUITE 103
City	:	PHILADELPHIA
State	:	PA
Zip	:	19119-1827
Country	:	US
Telephone Number	:	267-437-4017
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. VERONICA FRASER
Credential	:
Telephone Number	:	856-562-2416

Provider Enumeration Date	:	08/11/2014
Last Update Date	:	08/11/2014

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