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Organization

PATRIOT ANESTHESIOLOGY PLLC

Active
Other names
Gray Longevity Institute
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DENNIS WAYNE GRAY JR. DO (MANAGING MEMBER)
(603) 484-9777
Entity
Organization

Contact information

Practice address
52 RIDEOUT RD, HOLLIS, NH 03049-6110
(603) 484-9777
Mailing address
923 ELM ST # 102, MANCHESTER, NH 03101-2003
(603) 484-9777

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Enumeration date
08/12/2025
Last updated
08/12/2025
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