Individual
DR. JOHN N GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24 WINDHAM ST, WILLIMANTIC, CT 06226-2216
(860) 423-5656
(860) 423-2122
Mailing address
24 WINDHAM ST, WILLIMANTIC, CT 06226-2216
(860) 423-5656
(860) 423-2122
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
026012
CT
208800000X
Urology Physician
Primary
026012
CT
Other
Enumeration date
05/19/2006
Last updated
08/05/2013
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