Individual
AMANDA ELIZABETH GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 N BROAD ST STE 810, PHILADELPHIA, PA 19140-5189
(215) 707-4085
Mailing address
3401 N BROAD ST STE 810, PHILADELPHIA, PA 19140-5189
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT236472
PA
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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