Individual
DR. DOUGLAS M HARGRAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1315 HARDING HWY, RICHLAND, NJ 08350-2205
(856) 697-0300
(856) 697-8944
Mailing address
PO BOX 310, RICHLAND, NJ 08350-0310
(856) 697-0300
(856) 697-8944
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MB64919
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497700355
MEDICARE NPI
NJ
05
—
7733305
—
NJ
Enumeration date
05/22/2006
Last updated
02/04/2014
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