Gray, Jonathan Gardner

Gray, Jonathan Gardner is an individual health care provider with primary practice located at 55 Fruit St , Boston MA 02114-2621. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Gray, Jonathan Gardner can be contacted via phone (617) 724-7739.

Contact Information

Primary practice address
55 Fruit St Boston MA 02114-2621
Phone: (617) 724-7739
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2275 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2275 Massachusetts

Profile Details

NPI number 1083887541
LBN Legal business name Gray, Jonathan Gardner
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2008
Last updated May 1st, 2019 - about 7 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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