Basic Information
Provider Information
NPI: 1245377654
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FRAZIER
FirstName: AISHA
MiddleName: HUGHES
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 191
Address2:  
City: ROCKLAND
State: DE
PostalCode: 197320191
CountryCode: US
TelephoneNumber: 3026516212
FaxNumber:  
Practice Location
Address1: 1600 ROCKLAND RD
Address2:  
City: WILMINGTON
State: DE
PostalCode: 198033607
CountryCode: US
TelephoneNumber: 3026514200
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/01/2007
LastUpdateDate: 10/09/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000XP20094MDN Allopathic & Osteopathic PhysiciansPediatrics 
208000000XC10010671DEN Allopathic & Osteopathic PhysiciansPediatrics 
2080P0202XC10010671DEY Allopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology

No ID Information.


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