Individual
DR. CHARLES RAYMOND GRAHAM JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 PINE HEIGHTS AVE, SUITE 300, BALTIMORE, MD 21229
(410) 646-5470
(410) 646-5471
Mailing address
1001 PINE HEIGHTS AVE, STE 300, BALTIMORE, MD 21229
(410) 646-5470
(410) 646-5471
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D24781
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
336621900
—
MD
Enumeration date
10/18/2005
Last updated
08/17/2010
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