Individual
ANTHONY FREEMAN GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
6212 WALNUT ST, PHILADELPHIA, PA 19139-3706
(215) 476-6264
(215) 689-0893
Mailing address
6136 170TH ST APT M4, FRESH MEADOWS, NY 11365-1957
(718) 709-0940
(516) 441-6768
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
SP027579
PA
Other
Enumeration date
05/25/2023
Last updated
05/16/2024
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