Individual
MATTHEW F GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 CIVIC CENTER BLVD, CHILDREN'S SURGICAL HOSPITAL OF PHILADELPHIA, PHILADELPHIA, PA 19104-4319
(215) 590-1527
(215) 590-1501
Mailing address
100 EAST PENN SQUARE, THE WANAMAKER BUILDING 9TH FL, PHILADELPHIA, PA 19107-3323
(267) 425-9538
(267) 425-9552
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
C10006565
DE
2080S0010X
Pediatric Sports Medicine Physician
Primary
MD073748L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001901191-0002
—
PA
Enumeration date
06/29/2006
Last updated
06/03/2016
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