Individual
JULIANNE P GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 742-5252
Mailing address
PO BOX 845398, BOSTON, MA 02284-5398
(888) 447-2450
(405) 844-1794
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0485
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30332485
—
NH
01
—
P00355263
RAILROAD MEDICARE
—
01
—
P01146908
RAILROAD MCARE
NH
Enumeration date
07/12/2006
Last updated
04/22/2013
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