Individual provider · Type 1 NPI

Edward A. Fraser, PA-C

Medical Physician Assistant · New London, CT

NPI number 1265576508 Active

Practice location

365 Montauk Ave
New London, CT 06320-4700

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X000391 (CT)
Surgical Physician Assistant 363AS0400X000391 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1265576508

Edward A. Fraser, PA-C's National Provider Identifier is 1265576508, issued on Feb 19, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New London, CT. The record was last updated on Sep 11, 2025.