Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 241150 | NY |
NPI | 1295823474 |
---|---|
Provider Name | Graham G Ashmead |
First Address | Philadelphia, PA 19195-4930 |
Second Address | New York, NY 10019-1147 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2006 |
Last Update Date | 24/09/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02799360 | (05) | NY |
B85519 | (02) |