Grad, Charles Thomas

Grad, Charles Thomas is an individual health care provider with primary practice located at 201 Smallacombe Dr , Scranton PA 18508-2616. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Grad, Charles Thomas can be contacted via phone (570) 961-0171.

Contact Information

Primary practice address
201 Smallacombe Dr Scranton PA 18508-2616
Phone: (570) 961-0171
Fax: (570) 207-2411
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD014268E Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD014268E Pennsylvania

Profile Details

NPI number 1093723322
LBN Legal business name Grad, Charles Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093723322 NPPES
Pennsylvania Other MD014268E MD LICENSE
Pennsylvania MEDICAID 0006769880001 MD LICENSE

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