Graham, Alan M

Graham, Alan M is an individual health care provider with primary practice located at 1 Medical Center Blvd Vivacqua Pavilion, Suite 233, Chester PA 19013-3902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Graham, Alan M can be contacted via phone (610) 499-0400.

Contact Information

Primary practice address
1 Medical Center Blvd Vivacqua Pavilion, Suite 233 Chester PA 19013-3902
Phone: (610) 499-0400
Fax: (610) 499-1970
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 25MA05825300 New Jersey
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD452378 Pennsylvania

Profile Details

NPI number 1285718742
LBN Legal business name Graham, Alan M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Aug 1st, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285718742 NPPES
New Jersey MEDICAID 5211409

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