Gray, Robert G

Gray, Robert G is an individual health care provider with primary practice located at 3377 Main St , Springfield MA 01107-1111. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Gray, Robert G can be contacted via phone (413) 734-5661.

Contact Information

Primary practice address
3377 Main St Springfield MA 01107-1111
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 37310 Massachusetts

Profile Details

NPI number 1942297254
LBN Legal business name Gray, Robert G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Jan 25th, 2008 - about 17 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 1942297254 NPPES
Massachusetts MEDICAID 2043807
Massachusetts Other D93502

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