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Individual

JAY GRAHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
140 BERGEN ST, NEWARK, NJ 07103-2425
(646) 832-0904
Mailing address
140 BERGEN ST, NEWARK, NJ 07103-2425
(646) 832-0904

Taxonomy

Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
25MA12788700
NJ
208600000X
Surgery Physician
228086
MA
208600000X
Surgery Physician
Primary
25MA12788700
NJ
208600000X
Surgery Physician
265290
NY

Other

Enumeration date
08/03/2006
Last updated
09/30/2025
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