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Individual
MATTHEW F GRADY
Active
Individual
MATTHEW F GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
C10006565
DE
2080S0010X
Pediatric Sports Medicine Physician
Primary
MD073748L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001901191-0002
—
PA
Enumeration date
06/29/2006
Last updated
06/03/2016
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