Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 8658 | RI |
Y | 207XS0106X | Orthopaedic Hand Surgeon | MD08658 | RI |
NPI | 1164461364 |
---|---|
Provider Name | Dr. Steven Graff |
First Address | Pawtucket, RI 02860-6057 |
Second Address | Pawtucket, RI 02860-6057 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2006 |
Last Update Date | 18/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F27032 | (02) |