Organization
GLENN E. GRAYBEAL, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN E GRAYBEAL MD (PRESIDENT)
(302) 422-3377
Entity
Organization
Contact information
Practice address
1 SUSSEX AVE, MILFORD, DE 19963-1853
(302) 422-3377
(302) 422-9580
Mailing address
1 SUSSEX AVE, PO BOX 929, MILFORD, DE 19963-1853
(302) 422-3377
(302) 422-9580
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000073902
—
DE
Enumeration date
05/09/2006
Last updated
01/10/2013
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