Individual
ROGER H GRAY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 WASHINGTON ST, UNIT 36, NORWOOD, MA 02062
(781) 278-6636
Mailing address
PO BOX 12, SHARON, MA 02067
(781) 806-5152
(781) 989-7181
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
43790
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3047466
—
MA
01
—
700670
TUFTS
MA
01
—
C07115
BCBS MA
MA
Enumeration date
02/14/2006
Last updated
07/08/2007
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