Individual
CLARISA R GRACIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 WALNUT ST FL 10, PHILADELPHIA, PA 19107-5176
(215) 829-2345
(215) 829-3365
Mailing address
800 WALNUT ST FL 10, PHILADELPHIA, PA 19107-5176
(215) 829-2345
(215) 829-3365
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD070662L
PA
207VE0102X
Reproductive Endocrinology Physician
Primary
MD070662L
PA
Other
Enumeration date
06/22/2006
Last updated
10/16/2019
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