Active NPIIndividual provider

Marisa C Gray, MD

Urology in Bangor, Maine

NPI Number1629423520
Practice location
55 Broadway, Bangor, ME 04401-5201
Fax
—
Last updated
September 21, 2021

Marisa Christine Gray is an Urology based in Bangor, ME. Marisa Christine Gray practices in Bangor, ME and has the professional credentials of MD. The NPI Number for Marisa Christine Gray is 1629423520 and holds a License No. MD24837 (ME). The current practice location address for Marisa Christine Gray is 55 Broadway, Bangor, ME 04401-5201 and can be reached out via phone at 207-947-0469.

Provider Profile Details

NPI Number
1629423520
Provider Name
Marisa Christine Gray
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
55 Broadway, Bangor, ME 04401-5201
Phone Number
207-947-0469
Primary Taxonomy
Urology · 208800000X
Sole Proprietor
No
Provider Enumeration Date
April 28, 2016
Last Update Date
September 21, 2021
Certification Date
September 21, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Broadway
Bangor, ME 04401-5201
City
Bangor
State
Maine
Zip
04401-5201
Phone Number
207-947-0469
Bangor, ME 04401Get directions →

Provider Business Mailing Address Details

Address
6 Sophie Ln
Hampden, ME 04444-1745
City
Hampden
State
ME
Zip
04444-1745
Phone Number
919-210-9595

License Information

License Number (2)
MD24837
License State (2)
ME
Taxonomy (2)
Urology · 208800000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Marisa C Gray, MD?

The NPI number of Marisa C Gray, MD is 1629423520. It was assigned on April 28, 2016 and is currently active in the NPPES registry.

What is the specialty of Marisa C Gray, MD?

Marisa C Gray, MD is registered under the primary taxonomy Urology (code 208800000X), licensed in ME under license number MD24837.

Where does Marisa C Gray, MD practice?

The practice location is 55 Broadway, Bangor, ME 04401-5201. The office can be reached at 207-947-0469 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629423520 directly on the NPPES registry website.

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