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Individual

DR. DONALD ROSS GRAYSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
195 FARMINGTON AVENUE, SUITE 203, FARMINGTON, CT 06032
(860) 674-8914
(860) 674-9236
Mailing address
195 FARMINGTON AVENUE, SUITE 203, FARMINGTON, CT 06032
(860) 674-8914
(860) 674-9236

Taxonomy

Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
11795
CT
2084P0800X
Psychiatry Physician
Primary
11795
CT

Other

Enumeration date
04/01/2013
Last updated
04/01/2013
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