Individual
GRISHMA RALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 SPROUL RD STE 206, BROOMALL, PA 19008-3509
(610) 284-0200
Mailing address
2000 SPROUL RD STE 206, BROOMALL, PA 19008-3509
(610) 284-0200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD452471
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/19/2012
Last updated
06/11/2024
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