Individual
DR. JAMES JEFFERSON GRAHAM III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
100 E LEHIGH AVE, PHILADELPHIA, PA 19125-1012
(215) 707-8496
(215) 707-4086
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-8496
(215) 707-4086
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OS018068
PA
Other
Enumeration date
07/05/2012
Last updated
04/20/2018
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