Individual
DR. DAVID M. GRATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 S 11TH ST, SUIGE 8490, PHILADELPHIA, PA 19107-4824
(215) 955-6161
(215) 923-5507
Mailing address
111 S 11TH ST, SUITE 8490, PHILADELPHIA, PA 19107-4824
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OS006431E
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
OS006431E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001296867
—
PA
05
—
5638003
—
NJ
Enumeration date
07/17/2006
Last updated
07/18/2014
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