Individual
PETER E GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 CAPITAL WAY STE 220, PENNINGTON, NJ 08534-2523
(609) 303-0747
Mailing address
19 OLD PASCACK RD, WOODCLIFF LAKE, NJ 07677-8315
(201) 906-7219
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
20528
ME
207RH0003X
Hematology & Oncology Physician
49412
WI
207RX0202X
Medical Oncology Physician
Primary
25MA08010400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
169416
HEALTH ALLIANCE
IL
Enumeration date
10/03/2006
Last updated
07/23/2024
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