Individual
GRACE RAUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1527
Mailing address
214 BEAUMONT DR, WALLINGFORD, PA 19086-6850
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA067128
PA
Other
Enumeration date
10/29/2025
Last updated
10/29/2025
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