Individual
DR. SCOTT M. GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
20 GRANITE STATE CT, BREWSTER, MA 02631-2127
(508) 255-7200
(508) 247-9801
Mailing address
20 GRANITE STATE CT, BREWSTER, MA 02631-2127
(508) 255-7200
(508) 247-9801
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
216184
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2005450
—
MA
01
—
463859
TUFTS HEALTH PLAN
MA
01
—
714460
HARVARD PILGRIM HEALTH
MA
01
—
J25929
BC/BS
MA
Enumeration date
08/30/2006
Last updated
12/08/2015
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