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Contact Information

COLLEEN GRAHAM
3906 CHURCH RD
MOUNT LAUREL, NJ08054-1108
 Phone: 856-596-1600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for COLLEEN GRAHAM · (Female)

NPI Number 1891310033
Status Active
Credentials
Entity Individual
Enumeration date 06/13/2020
Last updated 07/22/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MB12175400
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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