Individual
DR. JEFFREY S GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 UNION ST, SUITE 1400, ELLSWORTH, ME 04605-1534
(207) 664-5455
(207) 664-5456
Mailing address
50 UNION ST, SUITE 1400, ELLSWORTH, ME 04605-1534
(207) 664-5455
(207) 664-5456
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
015009
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
434423299
—
ME
Enumeration date
06/21/2005
Last updated
09/17/2009
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