Provider Demographics
NPI:1487983979
Name:JOYCE M GRABAR
Entity type:Organization
Organization Name:JOYCE M GRABAR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:MARGOT
Authorized Official - Last Name:GRABAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-357-5400
Mailing Address - Street 1:1269 WRIGHT DR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-2723
Mailing Address - Country:US
Mailing Address - Phone:215-357-5400
Mailing Address - Fax:215-357-0269
Practice Address - Street 1:826 BUSTLETON PIKE
Practice Address - Street 2:SUITE 300
Practice Address - City:FEASTERVILLE TREVOSE
Practice Address - State:PA
Practice Address - Zip Code:19053-6066
Practice Address - Country:US
Practice Address - Phone:215-357-5400
Practice Address - Fax:215-357-0269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-14
Last Update Date:2010-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD023801E207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000426059OtherHIGHMARK
PA000426059OtherHIGHMARK