Grady, Matthew F
Grady, Matthew F is an individual health care provider with primary practice located at 3401 Civic Center Blvd Children'S Surgical Hospital Of Philadelphia, Philadelphia PA 19104-4319. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Grady, Matthew F can be contacted via phone (215) 590-1527.Contact Information
Primary practice address
3401 Civic Center Blvd Children'S Surgical Hospital Of Philadelphia
Philadelphia PA 19104-4319
Phone: (215) 590-1527
Fax: (215) 590-1501
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | C10006565 | Delaware |
Allopathic & Osteopathic Physicians / Sports Medicine | 2080S0010X | MD073748L | Pennsylvania |
Profile Details
NPI number | 1366470429 |
---|---|
LBN Legal business name | Grady, Matthew F |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 29th, 2006 |
Last updated | Jun 3rd, 2016 - about 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1366470429 | NPPES |
Pennsylvania | MEDICAID | 001901191-0002 |
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