Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | MD427938 | PA |
Y | 208600000X | Surgeon | MD427938 | PA |
N | 2086S0102X | Surgical Critical Care | MD427938 | PA |
N | 2086S0127X | Trauma Surgeon | MD427938 | PA |
NPI | 1235200411 |
---|---|
Provider Name | Dr. Daniel John Grabo JR. |
First Address | Philadelphia, PA 19104-4206 |
Second Address | Philadelphia, PA 19104-4206 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/11/2006 |
Last Update Date | 09/01/2021 |