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Individual

DR. THOMAS J. GRAHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1621 N CEDAR CREST BLVD, ALLENTOWN, PA 18104-2304
(610) 402-8900
Mailing address
1 PRESTIGE PL STE 550, MIAMISBURG, OH 45342-6115
(937) 762-1310
(937) 522-8068

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
35.066570
OH
207X00000X
Orthopaedic Surgery Physician
D0055971
MD
207XS0106X
Orthopaedic Hand Surgery Physician
287705
NY
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
MD480740
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
331950400
MD
01
903A
CAREFIRST MARYLAND
MD
01
DC8030
RAILROAD MEDICARE
MD
01
DE5302
RAILROAD MEDICARE
MD
01
J848
CAREFIRST DC
MD
Enumeration date
04/13/2006
Last updated
04/14/2023
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