Individual
JOHN GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
801 W BROAD ST, BETHLEHEM, PA 18018-5264
(610) 867-3874
Mailing address
PO BOX 1754, ALLENTOWN, PA 18105-1754
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS002774L
PA
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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