Individual
DR. JEFFREY FRANCIS GRYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 MEADE ST, DUNMORE, PA 18512
(570) 342-3675
(570) 342-3316
Mailing address
1100 MEADE ST, DUNMORE, PA 18512-3169
(570) 342-3675
(570) 342-3316
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
MD029694E
PA
207RH0003X
Hematology & Oncology Physician
Primary
MD029694E
PA
207RX0202X
Medical Oncology Physician
MD029694E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000152639
UNISON MEDPLUS
—
01
—
000000351803
ANTHEM BCBS
OH
01
—
000927308
ION HEALTH MEDICAID HMO
PA
05
—
0009273080005
—
PA
05
—
0009273080006
—
PA
01
—
1508424
GATEWAY
PA
05
—
2455418
—
OH
01
—
3503772
AETNA PIN FOR HMOS
—
01
—
4356942
AETNA PIN FOR PPOS
—
01
—
84400692
CIGNA
—
01
—
C34153
HEALTH AMERICA PIN
—
01
—
GR438116
HIGHMARK BCBS PIN
—
01
—
P0096493
RAILROAD MEDICARE
—
Enumeration date
12/13/2005
Last updated
10/01/2020
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