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Individual

SERGEY GRACHEV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
115 E BAY AVE, MANAHAWKIN, NJ 08050-3109
(609) 597-9477
(609) 597-9877
Mailing address
PO BOX 367, MANAHAWKIN, NJ 08050-0367
(609) 597-9477
(609) 597-9877

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA07937200
NJ

Other

Enumeration date
02/21/2006
Last updated
06/24/2010
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