Graham, Maurice E

Graham, Maurice E is an individual health care provider with primary practice located at 4374 New Town Ave Ste 202, Williamsburg VA 23188-2865. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Graham, Maurice E can be contacted via phone (757) 253-5757.

Contact Information

Primary practice address
4374 New Town Ave Ste 202 Williamsburg VA 23188-2865
Phone: (757) 253-5757
Fax: (757) 510-9063
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101033033 Virginia

Profile Details

NPI number 1003883695
LBN Legal business name Graham, Maurice E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Jan 10th, 2012 - about 13 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 1003883695 NPPES
Virginia MEDICAID 010099994

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