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EDWARD A FRASER PA-C
NPI 1265576508
Physician Assistant - Medical in New London, CT

Active since February 19, 2007
365 MONTAUK AVE, NEW LONDON, CT 06320(860) 442-0711 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Edward A Fraser Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDWARD A FRASER PA-C (NPI 1265576508) is an individual medical provider in New London, Connecticut, licensed in Connecticut (000391) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1265576508
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameEDWARD A FRASERCredential: PA-C
Location Address365 MONTAUK AVENew London, CT 06320-4700
Mailing Address365 Montauk AveNew London, CT 06320-4700 · (860) 442-0711
Phone(860) 442-0711
Sole ProprietorNo
Enumeration DateFebruary 19, 2007
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1265576508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CT · 000391
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 000391 (CT)
365 MONTAUK AVE, New London, CT 06320
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Other Identifiers 2

Medicaid4041679CO
Medicaid4024972CT

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHLEEN M PACHECO RN, CDE
Registered Nurse (Diabetes Educator)
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-4737
THERESA M. BONANOMI
Social Worker (Clinical)
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-5141
AMIT KHANNA MD
Family Medicine (Sleep Medicine)
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 442-0711
JOANN DONNEL LNM
Advanced Practice Midwife
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 442-0711
SAMUEL MARYLES MD
Emergency Medicine
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (330) 493-4443
DR. PAUL CASINELLI M.D
Anesthesiology
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 442-0711
MARIAM F. ABOUKAR D.O.
Psychiatry & Neurology (Psychiatry)
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 442-0711
MR. STEPHEN DANIEL SOCHA FNP-C
Nurse Practitioner (Family)
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 442-0711

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Fraser's NPI number?

The NPI number for Edward Fraser is 1265576508. It was assigned to this individual provider in the NPPES registry on February 19, 2007.

Where is Edward Fraser located?

Edward Fraser practices at 365 Montauk Ave, New London, CT 06320. The listed phone number is (860) 442-0711.

What is Edward Fraser's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Edward Fraser was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.