Individual
NIRUTISAI K GRAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
175 MARTIN AVE, SUITE 320, EPHRATA, PA 17522-1761
(717) 721-5800
(717) 721-5858
Mailing address
4131 OREGON PIKE, SUITE C, EPHRATA, PA 17522-9550
(717) 859-5161
(717) 859-5169
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD430668
PA
2086S0122X
Plastic and Reconstructive Surgery Physician
D63524
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019750900001
—
PA
01
—
111124UFW
MEDICARE
PA
05
—
408404700
—
MD
Enumeration date
05/18/2006
Last updated
05/27/2015
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