Individual
THOMAS GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 PRIDES XING STE 200, NEWARK, DE 19713-6109
(302) 998-0300
Mailing address
700 PRIDES XING STE 200, NEWARK, DE 19713-6109
(302) 998-0300
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
LG0001053
DE
363LF0000X
Family Nurse Practitioner
Primary
LG0001053
DE
Other
Enumeration date
09/12/2017
Last updated
08/19/2020
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