Individual
BENJAMIN LEO GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 SPRUCE ST, 1 CATHCART, PHILADELPHIA, PA 19107-6130
(215) 829-2230
Mailing address
250 TRAVELODGE DR, EL CAJON, CA 92020-4126
(215) 829-2230
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
174875
CA
207X00000X
Orthopaedic Surgery Physician
2009013685
MO
207XS0106X
Orthopaedic Hand Surgery Physician
35.122936
OH
207XS0106X
Orthopaedic Hand Surgery Physician
MD454361
PA
Other
Enumeration date
06/20/2009
Last updated
12/27/2021
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