Dr. Maurice E Graham
Pediatrician
4374 New Town Ave Ste 202
Williamsburg
, Virginia 23188-2865
Dr. Maurice E Graham
Pediatrician
4374 New Town Ave Ste 202
Williamsburg
, Virginia 23188-2865
(757) 510-9063
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- Dr. Maurice E Graham
- 4374 New Town Ave Ste 202
- Williamsburg, VA
- Zip : 23188-2865
- Fax : (757) 510-9063
- Phone : (757) 253-5757
Second Address
- Dr. Maurice E Graham
- 4374 New Town Ave Ste 202
- Williamsburg, VA
- Zip : 23188-2865
- Fax : (757) 510-9063
- Phone : (757) 253-5757
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 0101033033 | VA |
National Provider Identifier
| NPI | 1003883695 |
|---|---|
| Provider Name | Dr. Maurice E Graham |
| First Address | Williamsburg, VA 23188-2865 |
| Second Address | Williamsburg, VA 23188-2865 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/03/2006 |
| Last Update Date | 10/01/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 010099994 | (05) | VA |
| F95182 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.