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Individual

VIRGINIA L GRAY-CLARKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
29 HOSPITAL HILL RD, SUITE 1600, SHARON, CT 06069-2095
(860) 364-5585
(860) 364-5078
Mailing address
P.O. BOX 789, 50 HOSPITAL HILL ROAD, SHARON, CT 06069
(860) 364-4471

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
038023
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001380237
CT
01
010038023
BLUE CROSS BLUE SHIELD
CT
01
565211
BLUE CROSS BLUE SHIELD
NY
Enumeration date
10/17/2006
Last updated
01/16/2014
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