Provider Demographics
NPI:1609115526
Name:FRAZIER, SHARON ELIZABETH
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:ELIZABETH
Last Name:FRAZIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 BIRCHWOOD CT
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-3909
Mailing Address - Country:US
Mailing Address - Phone:718-559-7270
Mailing Address - Fax:
Practice Address - Street 1:2001 BIRCHWOOD CT
Practice Address - Street 2:
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-3909
Practice Address - Country:US
Practice Address - Phone:718-559-7270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-13
Last Update Date:2016-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health