Individual
DR. RICHARD JEFFREY GRAYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
40 AVON MEADOW LN, AVON, CT 06001-3753
(860) 677-7733
(860) 677-7512
Mailing address
40 AVON MEADOW LN, AVON, CT 06001-3753
(860) 677-7733
(860) 677-7512
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
1437
FL
213E00000X
Podiatrist
Primary
P313
CT
213ES0131X
Foot Surgery Podiatrist
P313
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004050050
—
CT
Enumeration date
09/01/2005
Last updated
06/27/2021
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