Individual
DR. SHIRLEY H WRAY
Active
Individual
DR. SHIRLEY H WRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD PHD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
32140
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2001578
—
MA
01
—
702197
TUFTS HEALTH PLAN
MA
01
—
M07631
BCBS MA
MA
Enumeration date
10/26/2005
Last updated
12/26/2012
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