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Organization

LAWRENCE COUNTY ORTHOPEDICS AND SPORTS MEDICINE

Active
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Organization

LAWRENCE COUNTY ORTHOPEDICS AND SPORTS MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIMOTHY S GRAHAM MD (PRESIDENT)
(724) 658-5311
Entity
Organization

Contact information

Practice address
3120 WILMINGTON RD, NEW CASTLE, PA 16105
(724) 658-5311
(724) 658-6155
Mailing address
3120 WILMINGTON RD, NEW CASTLE, PA 16105
(724) 658-5311
(724) 658-6155

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007443830005
PA
Enumeration date
04/19/2006
Last updated
09/03/2008
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