Individual
DOUGLAS K GRAYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
485A US HIGHWAY 1 S, BUILDING A, ISELIN, NJ 08830-3012
(732) 750-0400
(732) 750-1507
Mailing address
485A US HIGHWAY 1 S, BUILDING A, ISELIN, NJ 08830-3012
(732) 750-0400
(732) 750-1507
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
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