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
Fax: (215) 590-1501
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366470429 NPPES
Pennsylvania MEDICAID 001901191-0002

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