Individual
DR. BRADLEY P GRAYUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER BLVD, ACP #533, CHESTER, PA 19013-3902
(610) 874-1184
(610) 874-4258
Mailing address
1 MEDICAL CENTER BLVD, ACP # 533, CHESTER, PA 19013-3902
(610) 874-1184
(610) 874-4258
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD042421E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001137459
—
PA
Enumeration date
12/13/2006
Last updated
04/25/2016
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