Graessle, William R

Graessle, William R is an individual health care provider with primary practice located at 3 Cooper Plz Suite 200, Camden NJ 08103-1438. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Graessle, William R can be contacted via phone (856) 342-2472.

Contact Information

Primary practice address
3 Cooper Plz Suite 200 Camden NJ 08103-1438
Fax: (856) 968-8414
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MA58118 New Jersey

Profile Details

NPI number 1700986486
LBN Legal business name Graessle, William R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2006
Last updated Apr 25th, 2016 - about 8 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 1700986486 NPPES
New Jersey Other 500518 AETNA
New Jersey Other CA0000316 AETNA
New Jersey Other 1008870 AETNA
New Jersey Other 1152393 AETNA
New Jersey Other 1260910 AETNA
New Jersey Other 25379 AETNA
New Jersey Other 60000654 AETNA
New Jersey Other 0186415000 AETNA
New Jersey Other 3K5966 AETNA
New Jersey Other P1256293 AETNA
New Jersey Other 409870 AETNA
New Jersey MEDICAID 6276105 AETNA
New Jersey Other 5550776 AETNA
New Jersey Other 60036241 AETNA

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