# STUART M. GRAHAM JR MD PL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528135266
- **Authorized official:** DR. STUART MALCOLM GRAHAM JR. MD (MANAGER)
- **Authorized official phone:** (561) 775-9288

## Contact information

- **Practice address:** 11211 PROSPERITY FARMS RD, SUITE D129 - OAKPARK, PALM BEACH GARDENS, FL 33410-3446
- **Practice address phone:** (561) 775-9288
- **Practice address fax:** (561) 624-4460
- **Mailing address:** 257 S BEACH RD, HOBE SOUND, FL 33455-2512
- **Mailing address phone:** (772) 546-0101
- **Mailing address fax:** (561) 624-4460

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | ME37835 | FL | Yes |

## Other

- **Enumeration date:** 11/29/2006
- **Last updated:** 08/22/2020