Individual
DR. GREGORY THOMAS RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1625 N GEORGE MASON DR, ARLINGTON, VA 22205-3683
(502) 456-7075
(502) 456-4440
Mailing address
PO BOX 7308, ARLINGTON, VA 22207-0308
(800) 292-1387
(502) 456-4440
Taxonomy
Speciality
Code
Description
License number
State
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
0101251434
VA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101251434
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051285400
—
DC
01
—
1022-0012
CAREFIRST BC/BS
MD
05
—
1730382425
—
VA
05
—
421267300
—
MD
Enumeration date
06/08/2007
Last updated
01/13/2017
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