Dr CHARLES GRAD is a male medical professional, specializing in Gastroenterology. He graduated in 1972 from Temple University School Of Medicine.
LACKAWANNA MEDICAL GROUP PC
201 SMALLACOMBE DR
SCRANTON
PA
185082616
Tel: 5709610171
| Npi | 1093723322 |
| Pac Id | 2860452489 |
| Professional Enrollment Id | I20111115000087 |
| Last Name | GRAD |
| First Name | CHARLES |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1972 |
| Primary Specialty | GASTROENTEROLOGY |
| Secondary Specialty 1 | INTERNAL MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | INTERNAL MEDICINE |
| Organization Legal Name | LACKAWANNA MEDICAL GROUP PC |
| Group Practice Pac Id | 6800870882 |
| Number Of Group Practice Members | 4 |
| Line 1 Street Address | 201 SMALLACOMBE DR |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | SCRANTON |
| State | PA |
| Zip Code | 185082616 |
| Phone Number | 5709610171 |
| Hospital Affiliation Ccn 1 | 390001 |
| Hospital Affiliation Lbn 1 | GEISINGER-COMMUNITY MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 390137 |
| Hospital Affiliation Lbn 2 | WILKES-BARRE GENERAL HOSPITAL |
| Hospital Affiliation Ccn 3 | 390119 |
| Hospital Affiliation Lbn 3 | MOSES TAYLOR HOSPITAL |
| Hospital Affiliation Ccn 4 | 390270 |
| Hospital Affiliation Lbn 4 | GEISINGER WYOMING VALLEY MEDICAL CENTER |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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