Individual
WILLIAM T GRIZOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8835 GERMANTOWN AVE., PHILADELPHIA, PA 19118-2718
(215) 242-1100
(215) 242-1101
Mailing address
8835 GERMANTOWN AVE., PHILADELPHIA, PA 19118-2718
(215) 242-1100
(215) 242-1101
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD-027845-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001147375
—
PA
05
—
7972601
—
NJ
Enumeration date
07/25/2006
Last updated
09/26/2012
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