Gray, Samuel M.

Gray, Samuel M. is an individual health care provider with primary practice located at 512 E Broad St , Westfield NJ 07090-2116. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Gray, Samuel M. can be contacted via phone (908) 232-6151.

Contact Information

Primary practice address
512 E Broad St Westfield NJ 07090-2116
Phone: (908) 232-6151
Fax: (908) 232-1920
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 25MA02860500 New Jersey

Profile Details

NPI number 1629091459
LBN Legal business name Gray, Samuel M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Aug 30th, 2007 - about 18 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 1629091459 NPPES
New Jersey MEDICAID 0597201

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