Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | MD430310 | PA |
NPI | 1083791222 |
---|---|
Provider Name | Claudia Gragnoli |
First Address | Philadelphia, PA 19107-6810 |
Second Address | Philadelphia, PA 19107-6810 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 15/06/2016 |