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Richard J Gray, MD
Vascular & Interventional Radiology Physician in Philadelphia, Pennsylvania
NPI 1407846090

Richard J Gray is a Vascular & Interventional Radiology Physician based in Malvern, PA and is specialized in Vascular & Interventional Radiology. Richard J Gray practices in Philadelphia, PA and has the professional credentials of MD. The NPI Number for Richard J Gray is 1407846090 and holds a License No. MD17704 (Pennsylvania).

The current practice location address for Richard J Gray is 7959 Bustleton Ave, Philadelphia, PA and can be reached out via phone at 215-742-5662 and via fax at 215-742-5663.

Location: 7959 Bustleton Ave, Philadelphia, PA, 19355-1407
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407846090
Provider Name
Richard J Gray
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
7959 Bustleton Ave, Philadelphia, PA, 19355-1407
Phone Number
215-742-5662
Fax Number
215-742-5663
Provider Enumeration Date
10/25/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
125141RS8 01 PA MEDICARE
102173425 05 OR
MD434194 01 PA MEDICAL LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
7959 Bustleton Ave
City
Philadelphia
State
Pennsylvania
Zip
19152-3320
Phone Number
215-742-5662
Fax Number
215-742-5663
person
Provider Business Mailing Address Details
Address
7959 Bustleton Ave
City
Philadelphia
State
Pennsylvania
Zip
19152-3320
Phone Number
215-742-5662
Fax Number
215-742-5663
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
MD17704 (District of Columbia)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
MD17704 (District of Columbia)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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