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Contact Information

JERRY L GRAY, MD
1599 SOMERSET AVE
STE #1
WINDBER, PA15963
 Phone: 814-467-5600
 Fax: 814-467-5605
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JERRY L GRAY · (Male)

NPI # 1104818756
Status Active
Credentials MD
Entity Individual
Enumeration date 08/19/2005
Last updated 08/12/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD014719E
  • PA Medicaid 0008730650004
Hospital affiliation(s)
  • WINDBER HOSPITAL - (Acute Care)
    600 SOMERSET AVENUE
    WINDBER, PA 15963
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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