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NPI Code Detail

MEDICARE: JOHN W GRAEF M.D.

MEDICARE:   JOHN W GRAEF  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 Physician33948MA
22080T0002XPediatric Medical Toxicology Physician33948MA
3208M00000XHospitalist Physician33948MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1V02406OTHERMABLUE CROSS
2PP624OTHERMAHARVARD PILGRIM
30003908OTHERMANEIGHBORHOOD HEALTH
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
54147717-003OTHERMACIGNA
6715698OTHERMATUFTS

General Provider Information

NPI Number : 1982680575
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN W GRAEF M.D.
Provider Business Mailing Address
First Line : 147 MILK STREET
Second Line : PROVIDER ENROLLMENT - 9TH FLOOR
City : BOSTON
State : MA
Zip : 02109-4862
Country : US
Telephone Number : 617-559-8053
Fax Number : 617-421-3487
Provider Business Practice Location Address
First Line : 333 LONGWOOD AVE
Second Line :
City : BOSTON
State : MA
Zip : 02115-5711
Country : US
Telephone Number : 617-355-8263
Fax Number : 617-277-8934
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2005
Last Update Date : 09/11/2025

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Directions to “ JOHN W GRAEF M.D.” Practice Location

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