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Individual

DR. JONATHAN MORAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10 GEORGE ST, SUITE 300, LOWELL, MA 01852-2293
(978) 687-2321
(978) 722-7287
Mailing address
354 MERRIMACK ST, LAWRENCE, MA 01843-1754
(978) 687-2321
(978) 722-7287

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
57910
MA
2084N0400X
Neurology Physician
8285
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0104025Y0MA01
ANTHEM
NH
01
05-00030
UHC
MA
01
05-81121
EVERCARE
MA
01
0926611-001
CIGNA
MA
01
12400
HPHC
MA
01
23594
FCHP
MA
05
30003390
NH
01
3002621
NHP
MA
05
3052389
MA
01
4337469
AETNA
MA
01
713936
THP
MA
01
J08646
BCBS
MA
Enumeration date
09/29/2005
Last updated
03/04/2020
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