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Individual

GRACE S LEE-RIDDLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1101 CHESTNUT ST, PHILADELPHIA, PA 19107-3612
(215) 955-6000
Mailing address
1025 WALNUT ST STE 605, PHILADELPHIA, PA 19107-5001
(215) 955-6000

Taxonomy

Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
25MA11578500
NJ
204F00000X
Transplant Surgery Physician
C1-002835
DE
208600000X
Surgery Physician
Primary
MD454212
PA

Other

Enumeration date
06/04/2012
Last updated
08/31/2025
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