Individual
GRAHAM THEODORE RENGERT STRATTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 S 54TH ST, PHILADELPHIA, PA 19143-1900
(215) 748-9707
(215) 748-9708
Mailing address
501 S 54TH ST, PHILADELPHIA, PA 19143-1900
(215) 748-9707
(215) 748-9708
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD474218
PA
Other
Enumeration date
04/30/2018
Last updated
11/01/2021
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