Individual
JEREMY S GRAYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
703 MAIN ST, PATERSON, NJ 07503-2621
(973) 754-2000
Mailing address
1305 WALT WHITMAN RD STE 1305, MELVILLE, NY 11747-4300
(516) 945-3000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA07624100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0033227
—
NJ
Enumeration date
10/20/2006
Last updated
11/20/2024
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