Gray, Richard J

Gray, Richard J is an individual health care provider with primary practice located at 7959 Bustleton Ave , Philadelphia PA 19152-3320. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Gray, Richard J can be contacted via phone (215) 742-5662.

Contact Information

Primary practice address
7959 Bustleton Ave Philadelphia PA 19152-3320
Phone: (215) 742-5662
Fax: (215) 742-5663
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD17704 District of Columbia
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MD17704 District of Columbia
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MD434194 Pennsylvania

Profile Details

NPI number 1407846090
LBN Legal business name Gray, Richard J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Feb 1st, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407846090 NPPES
Pennsylvania Other 125141RS8 MEDICARE
Pennsylvania MEDICAID 102173425 MEDICARE
Pennsylvania Other MD434194 MEDICARE

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