Individual
JOHN M GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 YOUNG AVE, SUITE 245, MOORESTOWN, NJ 08057-3130
(609) 267-9400
(609) 518-1868
Mailing address
4 EVES DR # A, SUITE 100, MARLTON, NJ 08053-3195
(609) 267-9400
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MA60599
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000199737
HIGHMARK BLUE SHIELD ID
NJ
01
—
0725141000
AMERIHEALTH HMO ID
NJ
Enumeration date
06/05/2006
Last updated
02/20/2015
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