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NPI Code Detail

MEDICARE: ADAM GRAUB

MEDICARE: ADAM GRAUB
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
1207L00000XAnesthesiology PhysicianOS025709PA

General Provider Information

NPI Number : 1174264303
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAM GRAUB
Provider Business Mailing Address
First Line : 555 N DUKE ST
Second Line :
City : LANCASTER
State : PA
Zip : 17602-2250
Country : US
Telephone Number : 717-531-8521
Fax Number :
Provider Business Practice Location Address
First Line : 555 N DUKE ST
Second Line :
City : LANCASTER
State : PA
Zip : 17602-2250
Country : US
Telephone Number : 717-544-4676
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2022
Last Update Date : 06/19/2026

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Directions to “ ADAM GRAUB ” Practice Location

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