Individual
MR. IAN ROSS GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
352 S DELSEA DR STE C, VINELAND, NJ 08360-5306
(856) 690-1616
(856) 896-6107
Mailing address
352 S DELSEA DR STE C, VINELAND, NJ 08360-5306
(856) 690-1616
(856) 896-6107
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00160500
NJ
363A00000X
Physician Assistant
MA052484
PA
Other
Enumeration date
04/13/2007
Last updated
10/11/2021
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