Provider Demographics
NPI:1932278660
Name:FRAZIER, HAROLD ALLISTONE II (MD)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:ALLISTONE
Last Name:FRAZIER
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3942 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-3933
Mailing Address - Country:US
Mailing Address - Phone:301-942-1976
Mailing Address - Fax:
Practice Address - Street 1:2150 PENNSYLVANIA AVE NW
Practice Address - Street 2:DEPARTMENT OF UROLOGY
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-3201
Practice Address - Country:US
Practice Address - Phone:202-741-3123
Practice Address - Fax:202-741-3105
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2015-09-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DCMD 32504208800000X
MDD32781208800000X
VA0101229008208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H30214Medicare UPIN