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Contact Information

PAUL R GRACE, PA-C
403 BETHEL RD.
SOMERS POINT, NJ08244
 Phone: 609-927-8746
 Fax: 609-653-8807
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for PAUL R GRACE · (Male)

NPI # 1376774992
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 07/30/2009
Last updated 07/30/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • DE License # C5-0000142
  • Other 02108 RX PA
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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