MEDICARE: JOSEPH D GRAHAM MD

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
1	207Q00000X	Family Medicine Physician	MD428271	PA

General Provider Information

NPI Number	:	1881790855
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH D GRAHAM MD

Provider Business Mailing Address
First Line	:	3475 W CHESTER PIKE STE 210
Second Line	:
City	:	NEWTOWN SQUARE
State	:	PA
Zip	:	19073-4288
Country	:	US
Telephone Number	:	484-420-4215
Fax Number	:	484-339-6672

Provider Business Practice Location Address
First Line	:	3475 W CHESTER PIKE STE 210
Second Line	:
City	:	NEWTOWN SQUARE
State	:	PA
Zip	:	19073-4288
Country	:	US
Telephone Number	:	484-420-4215
Fax Number	:	484-339-6672

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2006
Last Update Date	:	04/20/2026

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