Individual
VAUGHAN C GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 WALNUT ST, SUITE L90, PHILA, PA 19106-3304
(215) 238-1622
(215) 238-1944
Mailing address
601 WALNUT ST, SUITE L90, PHILA, PA 19106-3304
(215) 238-1622
(215) 238-1944
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD028158E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009410580004
—
PA
Enumeration date
06/13/2006
Last updated
10/28/2013
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