Jennifer P Gray, MD
Dermatology in Old Saybrook, CT. Individual provider (NPI-1).
NPI number1285644039
StatusActive
Last updated in NPPESFeb 17, 2016
Details
- NPI
- 1285644039
- Entity type
- Individual (NPI-1)
- Name
- Jennifer P Gray
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 8, 2006
- Last updated
- Feb 17, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 044955 | CT | Yes |
| 207N00000X | Dermatology | 11512 | RI |
Practice location
455 Boston Post RdSuite 10
Old Saybrook, CT 06475-1516
Phone 860-388-9799 · Fax 860-388-6646
Mailing address
455 Boston Post RdSuite 10
Old Saybrook, CT 06475-1516
Phone 860-388-9799 · Fax 860-388-6646
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