Organization
GRAHAM UROLOGICAL CENTER LLC
Active
Organization
GRAHAM UROLOGICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMMANUEL S GRAHAM M.D (DIRECTOR)
(340) 719-8761
Entity
Organization
Contact information
Practice address
6300 ESTATE PETERS RST STE 1, CHRISTIANSTED, VI 00820-5817
(340) 719-8761
Mailing address
PO BOX 6883, CHRISTIANSTED, VI 00823-6883
(340) 719-8761
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1455
VI
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
Other
Enumeration date
07/23/2010
Last updated
12/08/2023
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