# MATTHEW F GRADY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1366470429
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | C10006565 | DE | — |
| 2080S0010X | Pediatric Sports Medicine Physician | MD073748L | PA | Yes |

## Other

- **Enumeration date:** 06/29/2006
- **Last updated:** 06/03/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001901191-0002 | — | PA |