Individual
DR. TIMOTHY S GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3120 WILMINGTON RD, NEW CASTLE, PA 16105
(724) 658-5311
(724) 658-6155
Mailing address
3120 WILMINGTON RD, NEW CASTLE, PA 16105
(724) 658-5311
(724) 658-6155
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
MD029761E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009008530001
—
PA
Enumeration date
05/03/2006
Last updated
03/08/2016
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