Individual
MR. SEAN GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
55 FRUIT ST STE 230, BOSTON, MA 02114-2621
(617) 726-2740
Mailing address
55 FRUIT ST STE 230, BOSTON, MA 02114-2621
(617) 726-2740
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2287152
MA
363L00000X
Nurse Practitioner
Primary
RN2287152
MA
Other
Enumeration date
01/25/2017
Last updated
03/17/2018
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