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NPI Code Detail

MEDICARE: DR. ROBERT G. GRAW JR. M.D.

MEDICARE: DR. ROBERT G. GRAW JR. M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianD0013889MD

General Provider Information

NPI Number : 1326091232
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT G. GRAW JR. M.D.
Provider Business Mailing Address
First Line : 2772 RUTLAND RD
Second Line :
City : DAVIDSONVILLE
State : MD
Zip : 21035-1228
Country : US
Telephone Number : 410-798-1705
Fax Number : 443-332-4265
Provider Business Practice Location Address
First Line : 2772 RUTLAND RD
Second Line :
City : DAVIDSONVILLE
State : MD
Zip : 21035-1228
Country : US
Telephone Number : 410-798-1705
Fax Number : 443-332-4265
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2006
Last Update Date : 07/08/2007

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