Individual
ALAN M GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER BLVD, VIVACQUA PAVILION, SUITE 233, CHESTER, PA 19013-3902
(610) 499-0400
(610) 499-1970
Mailing address
1 MEDICAL CENTER BLVD, VIVACQUA PAVILION, SUITE 233, CHESTER, PA 19013-3902
(610) 499-0400
(610) 499-1970
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
25MA05825300
NJ
2086S0129X
Vascular Surgery Physician
Primary
MD452378
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5211409
—
NJ
Enumeration date
10/24/2006
Last updated
08/01/2014
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