# PEDIATRIC SPECIALISTS OF ANNAPOLIS, LLP

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

## Provider details

- **NPI number:** 1558418053
- **Authorized official:** ROBERT G GRAW JR. M.D. (MANAGING PARTNER)
- **Authorized official phone:** (443) 607-1033

## Contact information

- **Practice address:** 2772 RUTLAND RD, DAVIDSONVILLE, MD 21035-1228
- **Practice address phone:** (410) 451-1800
- **Practice address fax:** (410) 269-0510
- **Mailing address:** 2772 RUTLAND RD, DAVIDSONVILLE, MD 21035-1228
- **Mailing address phone:** (443) 607-1033
- **Mailing address fax:** (443) 607-1041

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080P0207X | Pediatric Hematology & Oncology Physician | — | NULL | Yes |
| 2080P0207X | Pediatric Hematology & Oncology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/05/2007
- **Last updated:** 08/22/2020