Individual
DOUGLAS K GRAYSON
Active
Individual
DOUGLAS K GRAYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
1827361
NY
207W00000X
Ophthalmology Physician
Primary
25MA06225100
NJ
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
182736-1
NY
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
25MA06225100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01486635
—
NY
01
—
566609QHY
MEDICARE
NJ
05
—
6675808
—
NJ
Enumeration date
07/27/2005
Last updated
04/24/2017
Update your record
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