Grayson, Howard Avory
Grayson, Howard Avory is an individual health care provider with primary practice located at 114 Woodland Street Dept Of Medicine, Hartford CT 06105. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Grayson, Howard Avory can be contacted via phone (860) 714-7446.Contact Information
Primary practice address
114 Woodland Street Dept Of Medicine
Hartford CT 06105
Phone: (860) 714-7446
Fax: (860) 714-1508
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 024407 | Connecticut |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 24407 | Connecticut |
Profile Details
| NPI number | 1205813102 |
|---|---|
| LBN Legal business name | Grayson, Howard Avory |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 30th, 2005 |
| Last updated | May 22nd, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205813102 | NPPES |
| Connecticut | MEDICAID | 001244079 |
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