Graff, Gavin R

Graff, Gavin R is an individual health care provider with primary practice located at 500 University Dr , Hershey PA 17033-2360. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pulmonology, which is considered as his primary health care specialty. Graff, Gavin R can be contacted via phone (717) 531-5338.

Contact Information

Primary practice address
500 University Dr Hershey PA 17033-2360
Fax: (717) 531-0761
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X MD419753 Pennsylvania

Profile Details

NPI number 1053361204
LBN Legal business name Graff, Gavin R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Sep 24th, 2019 - about 6 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 1053361204 NPPES
Pennsylvania MEDICAID 0019067880001

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